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1134843899
JACOB RAY
GRAND RAPIDS, MI
NPI
1134843899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501302189)
Enumeration Date
2022-09-27
Last Update Date
2022-11-07
Business Address
JACOB RAY DPT
150 JEFFERSON AVE SE STE 100
GRAND RAPIDS, MI 49503-4306
Phone number: 616-284-3690
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Mailing Address
JACOB RAY DPT
625 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-2395
Phone number:
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