STEPHANIE NICOLE FORTON

GRAND RAPIDS, MI
NPI1376109546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001186)
Enumeration Date2019-05-14
Last Update Date2019-05-14
Business Address
STEPHANIE NICOLE FORTON MS, LAT, ATC
1700 FULTON ST E
GRAND RAPIDS, MI 49506-1799
Phone number: 616-632-2971
Mailing Address
STEPHANIE NICOLE FORTON MS, LAT, ATC
500 FULTON ST E APT 375
GRAND RAPIDS, MI 49503-4400
Phone number: 616-460-2385
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