SUZANNE RAE LAKE

GRAND RAPIDS, MI
NPI1851545008
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MI  5302023677)
Enumeration Date2008-11-13
Last Update Date2008-11-13
Business Address
Ms. SUZANNE RAE LAKE RPH
738 FULTON ST W
GRAND RAPIDS, MI 49504-6320
Phone number: 616-458-8590
Mailing Address
Ms. SUZANNE RAE LAKE RPH
738 FULTON ST W
GRAND RAPIDS, MI 49504-6320
Phone number: 616-458-8590
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