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1184016404
CARLA BURGOS DE LA PAZ
GRAND RAPIDS, MI
NPI
1184016404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: MI 246Z00000X)
Enumeration Date
2015-02-24
Last Update Date
2015-02-24
Business Address
-- CARLA BURGOS DE LA PAZ
1101 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number: 616-456-6571
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Mailing Address
-- CARLA BURGOS DE LA PAZ
1101 BALL AVE NE
GRAND RAPIDS, MI 49505-5904
Phone number:
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