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1316433576
AMANDA FAIRBANKS
GRAND RAPIDS, MI
NPI
1316433576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201008519)
Enumeration Date
2018-07-10
Last Update Date
2018-07-10
Business Address
AMANDA FAIRBANKS OTR/L
1050 4 MILE RD NW
GRAND RAPIDS, MI 49544-1505
Phone number: 616-685-7073
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Mailing Address
AMANDA FAIRBANKS OTR/L
7941 KINMONT CT
JENISON, MI 49428-9109
Phone number:
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