GERALDINE MARIE JACK

GRAND RAPIDS, MI
NPI1649574021
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: MI  000000)
Additional Taxonomies174400000X Specialist
Enumeration Date2010-12-29
Last Update Date2021-08-23
Business Address
GERALDINE MARIE JACK BS, ETS
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-450-6482
Mailing Address
GERALDINE MARIE JACK BS, ETS
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-450-6482
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