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1588966477
ELISABETH FABER
GRAND RAPIDS, MI
NPI
1588966477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133VN1004X Dietitian, Registered Nutrition, Pediatric
(Licence: MI 919238)
Enumeration Date
2010-11-26
Last Update Date
2010-11-26
Business Address
ELISABETH FABER RD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-9488
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Mailing Address
ELISABETH FABER RD
4228 PEAK LN NE
GRAND RAPIDS, MI 49525-9402
Phone number: 616-447-8456
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