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1003282187
SAMANTHA MICHELLE FLIETSTRA
GRAND RAPIDS, MI
NPI
1003282187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017213)
Enumeration Date
2015-08-12
Last Update Date
2015-08-12
Business Address
-- SAMANTHA MICHELLE FLIETSTRA DPT
2161 LEONARD ST NW
GRAND RAPIDS, MI 49504-3829
Phone number: 616-453-7715
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Mailing Address
-- SAMANTHA MICHELLE FLIETSTRA DPT
2075 RICHVIEW AVE NW
WALKER, MI 49534-1249
Phone number:
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