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1245525625
BETHANIE DIANE RODRIGUEZ
SAGINAW, MI
NPI
1245525625
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Former Name
BETHANIE DIANE WATERMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MI 5201007345)
Enumeration Date
2011-06-14
Last Update Date
2011-06-14
Business Address
MRS. BETHANIE DIANE RODRIGUEZ OTR/L
1130 SUNNY LN
SAGINAW, MI 48638-5643
Phone number: 989-233-0097
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Mailing Address
MRS. BETHANIE DIANE RODRIGUEZ OTR/L
1130 SUNNY LN
SAGINAW, MI 48638-5643
Phone number: 989-233-0097
Copy
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