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1104553031
ALEX T COON
GRAND RAPIDS, MI
NPI
1104553031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601002764)
Enumeration Date
2022-08-02
Last Update Date
2022-08-02
Business Address
ALEX T COON ATC
5901 HALL ST SE
GRAND RAPIDS, MI 49546-3849
Phone number: 616-970-3336
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Mailing Address
ALEX T COON ATC
7865 GOLF MEADOWS DR SE
CALEDONIA, MI 49316-8071
Phone number: 616-970-3336
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