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1205260783
CANDACE REBECCA LATSHAW
GRAND RAPIDS, MI
NPI
1205260783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501016453)
Enumeration Date
2013-09-03
Last Update Date
2018-03-07
Business Address
Dr. CANDACE REBECCA LATSHAW D.P.T.
1401 CEDAR ST NE
GRAND RAPIDS, MI 49503-1375
Phone number: 616-260-6637
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Mailing Address
Dr. CANDACE REBECCA LATSHAW D.P.T.
5567 WHITNEYVILLE AVE SE
ALTO, MI 49302-9704
Phone number: 734-904-1804
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