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1063917540
JUSTIN TIMOTHY VANDYKE
GRAND RAPIDS, MI
NPI
1063917540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017857)
Enumeration Date
2018-03-27
Last Update Date
2018-03-27
Business Address
JUSTIN TIMOTHY VANDYKE PT, DPT
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-685-6264
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Mailing Address
JUSTIN TIMOTHY VANDYKE PT, DPT
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number:
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