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1578960464
AMANDA CATHERINE LARES
GRAND RAPIDS, MI
NPI
1578960464
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704276338)
Enumeration Date
2014-11-21
Last Update Date
2014-11-21
Business Address
-- AMANDA CATHERINE LARES FNP-BC
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1680
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Mailing Address
-- AMANDA CATHERINE LARES FNP-BC
2537 MOMENTUM PL
CHICAGO, IL 60689-5325
Phone number: 616-988-8220
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