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1588912000
CHAILLE LEEANN HATHAWAY
GRAND RAPIDS, MI
NPI
1588912000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225800000X Recreation Therapist
Enumeration Date
2012-08-15
Last Update Date
2012-08-15
Business Address
-- CHAILLE LEEANN HATHAWAY CTRS
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
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Mailing Address
-- CHAILLE LEEANN HATHAWAY CTRS
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
Copy
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