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1649920091
ANGELA DENESE MARTIN
GRAND RAPIDS, MI
NPI
1649920091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703111264)
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
ANGELA DENESE MARTIN LPN
1344 NORTHFIELD AVE NE
GRAND RAPIDS, MI 49505-5242
Phone number: 616-752-9711
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Mailing Address
ANGELA DENESE MARTIN LPN
1344 NORTHFIELD AVE NE
GRAND RAPIDS, MI 49505-5242
Phone number: 616-752-9711
Copy
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