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1497178644
LISA STAPLE
GRAND RAPIDS, MI
NPI
1497178644
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Former Name
LISA HOOGERWERF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704254719)
Enumeration Date
2014-01-23
Last Update Date
2014-01-23
Business Address
LISA STAPLE RN
3333 36TH ST SE
GRAND RAPIDS, MI 49512-2809
Phone number: 616-954-3540
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Mailing Address
LISA STAPLE RN
74 E 34TH ST
HOLLAND, MI 49423-7004
Phone number: 616-405-2854
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