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1437823077
AMANDA KAY SHUPE
GRAND RAPIDS, MI
NPI
1437823077
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Former Name
AMANDA KAY DYKHOUSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703107868)
Enumeration Date
2021-08-06
Last Update Date
2021-08-06
Business Address
Miss AMANDA KAY SHUPE Lpn
470 BALTIMORE DR NE
GRAND RAPIDS, MI 49503-3934
Phone number: 616-890-8364
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Mailing Address
Miss AMANDA KAY SHUPE Lpn
470 BALTIMORE DR NE
GRAND RAPIDS, MI 49503-3934
Phone number:
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