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1326806019
DIANA VICTORINO-TELLEZ
GRAND RAPIDS, MI
NPI
1326806019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2024-03-08
Last Update Date
2024-03-08
Business Address
DIANA VICTORINO-TELLEZ
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504-5176
Phone number: 231-260-5361
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Mailing Address
DIANA VICTORINO-TELLEZ
17718 PINE ST
BAILEY, MI 49303-9749
Phone number: 231-260-5361
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