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1295032142
KELLY JO MAXWELL
GRAND RAPIDS, MI
NPI
1295032142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI L1680636)
Enumeration Date
2011-02-11
Last Update Date
2011-02-11
Business Address
-- KELLY JO MAXWELL
3041 CHARLEVOIX DR SE
GRAND RAPIDS, MI 49546-7035
Phone number: 616-942-7200
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Mailing Address
-- KELLY JO MAXWELL
3041 CHARLEVOIX DR SE
GRAND RAPIDS, MI 49546-7035
Phone number: 616-942-7200
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