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1740933209
ELIZABETH DEPHOUSE
HOLLAND, MI
NPI
1740933209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
ELIZABETH DEPHOUSE BS
12265 JAMES ST BLDG A
HOLLAND, MI 49424-8613
Phone number: 616-393-5698
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Mailing Address
ELIZABETH DEPHOUSE BS
12265 JAMES ST BLDG A
HOLLAND, MI 49424-8613
Phone number: 616-393-5698
Copy
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