BEGIN:VCARD VERSION:3.0 FN:Gianna Ramirez N:Ramirez;Gianna;;; TITLE:Behavior Technician TEL;TYPE=WORK,VOICE:+12482565020 URL:https://www.gale.care/providers/mi/farmington-hills/gianna-ramirez-1497 576789 NOTE:NPI 1497576789. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1497576789 END:VCARD