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1184454159
CLARISSA MICHELLE HENTSCHEL
GRAND RAPIDS, MI
NPI
1184454159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502008620)
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
Miss CLARISSA MICHELLE HENTSCHEL
4150 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508-3605
Phone number: 616-913-2006
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Mailing Address
Miss CLARISSA MICHELLE HENTSCHEL
411 122ND AVE
SHELBYVILLE, MI 49344-9755
Phone number: 269-251-6728
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