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1083104020
HEATHER FAYE DESPRES COOK
GRAND RAPIDS, MI
NPI
1083104020
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Former Name
HEATHER FAYE DESPRES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501006545)
Enumeration Date
2018-05-15
Last Update Date
2018-05-15
Business Address
Mrs. HEATHER FAYE DESPRES COOK PT
1840 WEALTHY ST SE FL 5
GRAND RAPIDS, MI 49506-2921
Phone number: 616-774-3833
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Mailing Address
Mrs. HEATHER FAYE DESPRES COOK PT
1018 32ND ST SW
WYOMING, MI 49509-2806
Phone number: 616-498-9364
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