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1437579646
STACY BOMMELJE
LANSING, MI
NPI
1437579646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007780)
Enumeration Date
2014-04-27
Last Update Date
2014-04-27
Business Address
-- STACY BOMMELJE COTA/L
731 STARKWEATHER DR
LANSING, MI 48917-1128
Phone number: 517-323-9133
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Mailing Address
-- STACY BOMMELJE COTA/L
731 STARKWEATHER DR
LANSING, MI 48917-1128
Phone number: 517-323-9133
Copy
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