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1235281262
TRACY LATAWNIA PRIMUS
GRAND RAPIDS, MI
NPI
1235281262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704253947)
Enumeration Date
2007-01-18
Last Update Date
2007-07-08
Business Address
MRS. TRACY LATAWNIA PRIMUS REGISTERED NURSE
781 36TH ST SE
GRAND RAPIDS, MI 49548-2319
Phone number: 616-248-5168
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Mailing Address
MRS. TRACY LATAWNIA PRIMUS REGISTERED NURSE
PO BOX 141
GRAND RAPIDS, MI 49501-0141
Phone number: 616-248-5168
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