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1174997563
JAKE EDWARD KUIPERS
KALAMAZOO, MI
NPI
1174997563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MI 2601001522)
Enumeration Date
2015-11-23
Last Update Date
2015-11-23
Business Address
MR. JAKE EDWARD KUIPERS ATC
1903 W MICHIGAN AVE HEALTH AND HUMAN PERFORMANCE
KALAMAZOO, MI 49008-5200
Phone number: 269-387-2703
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Mailing Address
MR. JAKE EDWARD KUIPERS ATC
2244 DEVONSHIRE DR NE
GRAND RAPIDS, MI 49505-4436
Phone number: 616-307-4461
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