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1235709940
ALEXANDRIA GOODNOUGH
GRAND RAPIDS, MI
NPI
1235709940
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201010136)
Enumeration Date
2021-06-26
Last Update Date
2021-06-26
Business Address
ALEXANDRIA GOODNOUGH OTR/L
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-352-0224
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Mailing Address
ALEXANDRIA GOODNOUGH OTR/L
2552 CRYSTAL MEADOWS ST SE
CALEDONIA, MI 49316-7832
Phone number: 616-352-0224
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