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1215568860
EUGENE DIMENSTEIN
GRAND RAPIDS, MI
NPI
1215568860
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-02-03
Last Update Date
2022-09-12
Business Address
EUGENE DIMENSTEIN
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-970-0811
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Mailing Address
EUGENE DIMENSTEIN
790 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 616-970-0811
Copy
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