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1285134734
SELENE VIZCARRA
KENTWOOD, MI
NPI
1285134734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
SELENE VIZCARRA
5366 EASTERN AVE SE
KENTWOOD, MI 49508-6018
Phone number: 616-608-3665
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Mailing Address
SELENE VIZCARRA
1247 33RD ST SW
WYOMING, MI 49509-3410
Phone number: 616-228-3917
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