LAURISA RICHARD

ALLENDALE, MI
NPI1801300488
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601001760)
Enumeration Date2017-11-19
Last Update Date2017-11-19
Business Address
LAURISA RICHARD ATC
1 CAMPUS DR
ALLENDALE, MI 49401-9401
Phone number: 616-331-9385
Mailing Address
LAURISA RICHARD ATC
430 STEPHEN ST
HUNTINGTON, IN 46750-2022
Phone number: 260-388-3408
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