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1659963692
ANTASIA COPELAND
GRAND RAPIDS, MI
NPI
1659963692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-02-10
Last Update Date
2021-02-10
Business Address
ANTASIA COPELAND
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506-3155
Phone number: 616-821-6845
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Mailing Address
ANTASIA COPELAND
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number:
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