JONATHAN NICHOLAS CORNELL

GRAND RAPIDS, MI
NPI1053829895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202008279)
Enumeration Date2018-01-15
Last Update Date2018-01-15
Business Address
JONATHAN NICHOLAS CORNELL
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-942-2110
Mailing Address
JONATHAN NICHOLAS CORNELL
3300 36TH ST SE
GRAND RAPIDS, MI 49512-2810
Phone number: 616-942-2110
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