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1720543887
CANDACE LAURENCIN
GRAND RAPIDS, MI
NPI
1720543887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-02-04
Last Update Date
2019-02-04
Business Address
CANDACE LAURENCIN
3361 36TH ST SE
GRAND RAPIDS, MI 49512-2809
Phone number: 718-809-2932
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Mailing Address
CANDACE LAURENCIN
16789 CHANDLER RD APT 424B
EAST LANSING, MI 48823-8568
Phone number: 718-809-2932
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