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1568988004
ALEXIS ANTISDEL
GRAND RAPIDS, MI
NPI
1568988004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2017-08-16
Last Update Date
2017-08-16
Business Address
Miss ALEXIS ANTISDEL
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
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Mailing Address
Miss ALEXIS ANTISDEL
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number:
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