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1598097958
MIGUEL RICARDO QUINTANILLA
GRAND RAPIDS, MI
NPI
1598097958
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6801091225)
Enumeration Date
2010-02-09
Last Update Date
2014-03-17
Business Address
Mr. MIGUEL RICARDO QUINTANILLA LMSW
3501 LAKE EASTBROOK BLVD SE #258
GRAND RAPIDS, MI 49546-5938
Phone number: 616-719-0194
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Mailing Address
Mr. MIGUEL RICARDO QUINTANILLA LMSW
3501 LAKE EASTBROOK BLVD SE #258
GRAND RAPIDS, MI 49546-5938
Phone number: 616-719-0194
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