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1174000426
STACY AMBER CRATER
GRAND RAPIDS, MI
NPI
1174000426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901005122)
Enumeration Date
2018-07-19
Last Update Date
2020-04-08
Business Address
Dr. STACY AMBER CRATER O.D.
6680 DIVISION AVE S
GRAND RAPIDS, MI 49548-7834
Phone number: 616-455-2525
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Mailing Address
Dr. STACY AMBER CRATER O.D.
6680 DIVISION AVE S
GRAND RAPIDS, MI 49548-7834
Phone number: 616-455-2525
Copy
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