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1083072359
AMY GRACE CARLSON
KALAMAZOO, MI
NPI
1083072359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502002404)
Enumeration Date
2016-02-02
Last Update Date
2016-02-02
Business Address
-- AMY GRACE CARLSON PTA
1701 S 11TH ST
KALAMAZOO, MI 49009-1775
Phone number: 269-375-2020
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Mailing Address
-- AMY GRACE CARLSON PTA
1207 JENKS BLVD
KALAMAZOO, MI 49006-2105
Phone number: 269-823-3707
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