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1164924486
MARK DEKRAKER
GRAND RAPIDS, MI
NPI
1164924486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201000355)
Enumeration Date
2018-03-02
Last Update Date
2018-03-02
Business Address
MARK DEKRAKER OTR/L
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-840-8684
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Mailing Address
MARK DEKRAKER OTR/L
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-840-8684
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