DERGASO LARSEN

GRAND RAPIDS, MI
NPI1629995691
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: MI  900000230861)
Enumeration Date2026-07-01
Last Update Date2026-07-01
Business Address
DERGASO LARSEN
4218 BURTON ST SE
GRAND RAPIDS, MI 49546-6121
Phone number: 616-301-8000
Mailing Address
DERGASO LARSEN
4218 BURTON ST SE
GRAND RAPIDS, MI 49546-6121
Phone number: 616-301-8000
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