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1033506696
KRISTY L VANWORT
HOLLAND, MI
NPI
1033506696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502001577)
Enumeration Date
2015-04-22
Last Update Date
2015-04-22
Business Address
-- KRISTY L VANWORT
3908 112TH AVE
HOLLAND, MI 49424-8608
Phone number: 616-772-1627
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Mailing Address
-- KRISTY L VANWORT
3908 112TH AVE
HOLLAND, MI 49424-8608
Phone number: 616-772-1627
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