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1265934178
DONALD W PACKARD
GRAND RAPIDS, MI
NPI
1265934178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011408)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
DONALD W PACKARD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 734-476-9916
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Mailing Address
DONALD W PACKARD
6240 RYAN VALLEY DR NE
BELMONT, MI 49306-8001
Phone number:
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