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1104398536
SHANA JOY HOLDA
GRAND RAPIDS, MI
NPI
1104398536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501015445)
Enumeration Date
2018-12-25
Last Update Date
2018-12-25
Business Address
SHANA JOY HOLDA DPT
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-893-0431
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Mailing Address
SHANA JOY HOLDA DPT
7786 CHICKADEE DR
JENISON, MI 49428-7912
Phone number: 616-893-0431
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