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1184644940
JOSEPH HENRY DYKSTRA
GRAND RAPIDS, MI
NPI
1184644940
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-07-21
Last Update Date
2015-01-05
Business Address
Mr. JOSEPH HENRY DYKSTRA ATC
3195 KNIGHT WAY SE CALVIN COLLEGE SPOELHOF FIELDHOUSE COMPLEX
GRAND RAPIDS, MI 49546-4409
Phone number: 616-526-7008
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Mailing Address
Mr. JOSEPH HENRY DYKSTRA ATC
325 LLOYD CT
MIDDLEVILLE, MI 49333-8119
Phone number: 616-403-3750
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