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1184125783
KENNETH CHARLES SMITH
GRAND RAPIDS, MI
NPI
1184125783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201002265)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
Mr. KENNETH CHARLES SMITH OTR/L
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-840-8559
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Mailing Address
Mr. KENNETH CHARLES SMITH OTR/L
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-840-8559
Copy
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