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1639618747
PATRICK LAMAR SHIELDS
GRAND RAPIDS, MI
NPI
1639618747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: MI 432676488260)
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
Mr. PATRICK LAMAR SHIELDS CNA
1492 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 231-730-2435
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Mailing Address
Mr. PATRICK LAMAR SHIELDS CNA
1492 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number:
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