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1780243303
ALEX PENCE
GRAND RAPIDS, MI
NPI
1780243303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2019-06-07
Last Update Date
2021-01-19
Business Address
ALEX PENCE
2814 WOODCLIFF CIR SE
GRAND RAPIDS, MI 49506-3155
Phone number: 855-832-6727
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Mailing Address
ALEX PENCE
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
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