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1740562255
MATTHEW RYAN LANTZ
HOLLAND, MI
NPI
1740562255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401012526)
Enumeration Date
2011-09-12
Last Update Date
2011-09-12
Business Address
Mr. MATTHEW RYAN LANTZ
12048 JAMES ST
HOLLAND, MI 49424-9661
Phone number: 616-396-0623
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Mailing Address
Mr. MATTHEW RYAN LANTZ
1180 MATT URBAN DR APT 507
HOLLAND, MI 49423-9767
Phone number:
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