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1649801887
TRACY FELDBAUER
GRAND RAPIDS, MI
NPI
1649801887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703102955)
Enumeration Date
2020-01-27
Last Update Date
2020-01-27
Business Address
TRACY FELDBAUER LPN
2805 COIT AVE NE
GRAND RAPIDS, MI 49505-3385
Phone number: 616-365-9290
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Mailing Address
TRACY FELDBAUER LPN
2805 COIT AVE NE
GRAND RAPIDS, MI 49505-3385
Phone number: 616-365-9290
Copy
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