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1992255996
LATRICE MENDENHALL
GRAND RAPIDS, MI
NPI
1992255996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704267597)
Enumeration Date
2016-10-13
Last Update Date
2016-10-13
Business Address
-- LATRICE MENDENHALL
2150 COUNTRYWOOD DR SE
GRAND RAPIDS, MI 49508-5029
Phone number: 616-329-2507
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Mailing Address
-- LATRICE MENDENHALL
2150 COUNTRYWOOD DR SE
GRAND RAPIDS, MI 49508-5029
Phone number: 616-329-2507
Copy
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