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1033644430
JACOB ALLEN LYTLE
GRAND RAPIDS, MI
NPI
1033644430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MI 5101025074)
Enumeration Date
2017-04-24
Last Update Date
2023-09-01
Business Address
JACOB ALLEN LYTLE DO
4100 LAKE DR SE STE 300
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-8860
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Mailing Address
JACOB ALLEN LYTLE DO
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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