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1023705209
EMMA KAY VANDEKIEFT
GRAND RAPIDS, MI
NPI
1023705209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502008302)
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
EMMA KAY VANDEKIEFT PTA
2591 44TH ST SE STE 101
GRAND RAPIDS, MI 49512-9094
Phone number: 616-281-9237
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Mailing Address
EMMA KAY VANDEKIEFT PTA
6527 THORNAPPLE RIVER DR SE
ALTO, MI 49302-9765
Phone number: 616-581-4341
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