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1245863141
VICTORIA C TRAVEN
GRAND RAPIDS, MI
NPI
1245863141
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502005861)
Enumeration Date
2020-02-19
Last Update Date
2020-02-19
Business Address
VICTORIA C TRAVEN PTA
5435 28TH STREET CT SE
GRAND RAPIDS, MI 49546-6772
Phone number: 616-551-0078
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Mailing Address
VICTORIA C TRAVEN PTA
18000 COVE ST STE 202
SPRING LAKE, MI 49456-1383
Phone number: 616-847-1280
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