Provider Information for 1508386814
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RAMON A SANTOS Social Worker
Sex: Male
NPI: 1508386814
Last Updated: 2022-04-23
Certification Date: 2022-04-23
Certification Date: 2022-04-23
Details
Name | Value | ||||||||||||
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NPI | 1508386814 | ||||||||||||
Enumeration Date | 2017-06-27 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | PO BOX 776974 CHICAGO, IL 60677-6974 United States Phone: 231-672-2119 | Fax:313-432-7759 | ||||||||||||
Primary Practice Address | 730 CESAR E CHAVEZ AVE GRAND RAPIDS, MI 49503-4920 United States Phone: 616-685-8400 | Fax:616-685-1322 | ||||||||||||
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