NICHOLAS RUSSELL

HOLLAND, MI
NPI1013487271
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501018629)
Enumeration Date2018-11-30
Last Update Date2018-11-30
Business Address
NICHOLAS RUSSELL
602 MICHIGAN AVE
HOLLAND, MI 49423-4918
Phone number: 616-392-5141
Mailing Address
NICHOLAS RUSSELL
263 N DIVISION AVE
HOLLAND, MI 49424-6459
Phone number:
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