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1619464476
PHYLLIS POWERS-FATA
GRAND RAPIDS, MI
NPI
1619464476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401006559)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
PHYLLIS POWERS-FATA
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525-1084
Phone number: 616-340-4217
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Mailing Address
PHYLLIS POWERS-FATA
6260 RED ASH CT
CALEDONIA, MI 49316-7468
Phone number:
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