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1225614050
CORNELIA WALLIS
GRAND RAPIDS, MI
NPI
1225614050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501006356)
Enumeration Date
2021-03-22
Last Update Date
2021-03-22
Business Address
CORNELIA WALLIS PT
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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Mailing Address
CORNELIA WALLIS PT
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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