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1740665397
KIMBERLY VASICEK
SOUTHGATE, MI
NPI
1740665397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6803086749)
Enumeration Date
2015-07-24
Last Update Date
2019-09-12
Business Address
KIMBERLY VASICEK BA
19401 NORTHLINE RD BLDG 5
SOUTHGATE, MI 48195
Phone number: 734-785-7700
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Mailing Address
KIMBERLY VASICEK BA
19401 NORTHLINE RD BLDG 5
SOUTHGATE, MI 48195-2277
Phone number:
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