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1194154062
JODI MARIE DOUSE
GRAND RAPIDS, MI
NPI
1194154062
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Former Name
JODI MARIE KNIELING
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201008641)
Enumeration Date
2013-11-01
Last Update Date
2013-11-01
Business Address
Mrs. JODI MARIE DOUSE OTRL
1331 LAKE DR SE
GRAND RAPIDS, MI 49506-1674
Phone number: 616-447-7799
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Mailing Address
Mrs. JODI MARIE DOUSE OTRL
942 BELLCLAIRE AVE SE
EAST GRAND RAPIDS, MI 49506-3104
Phone number: 248-766-6918
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