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1316400120
LISA WIERSMA
GRAND RAPIDS, MI
NPI
1316400120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
LISA WIERSMA
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546-5906
Phone number: 616-831-8643
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Mailing Address
LISA WIERSMA
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546-5906
Phone number: 616-831-8643
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