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1114580958
MARY KAY BAKKER
LOWELL, MI
NPI
1114580958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: 5202007370)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
MARY KAY BAKKER COTA
350 N CENTER ST
LOWELL, MI 49331-1212
Phone number: 616-897-8473
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Mailing Address
MARY KAY BAKKER COTA
350 N CENTER ST
LOWELL, MI 49331-1212
Phone number: 616-897-8473
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