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1194595967
SERAPHINO LICASTRO
GRAND RAPIDS, MI
NPI
1194595967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-01-03
Last Update Date
2024-01-03
Business Address
SERAPHINO LICASTRO
3809 LAKE EASTBROOK BLVD SE
GRAND RAPIDS, MI 49546-5931
Phone number: 616-604-8492
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Mailing Address
SERAPHINO LICASTRO
3809 LAKE EASTBROOK BLVD SE
GRAND RAPIDS, MI 49546-5931
Phone number:
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