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1225658123
JONATHAN M MENDICELLI
HOLLAND, MI
NPI
1225658123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502006160)
Enumeration Date
2020-04-21
Last Update Date
2020-04-21
Business Address
JONATHAN M MENDICELLI PTA
280 W 40TH ST
HOLLAND, MI 49423-4664
Phone number: 616-796-3600
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Mailing Address
JONATHAN M MENDICELLI PTA
18256 SWISS DR APT 16
SPRING LAKE, MI 49456-9741
Phone number: 231-878-7161
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