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1326888637
EVAN JAMES VAN NORTWICK
GRAND RAPIDS, MI
NPI
1326888637
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501303354)
Enumeration Date
2024-05-27
Last Update Date
2024-05-27
Business Address
EVAN JAMES VAN NORTWICK DPT
2024 FEATHERY CT SE
GRAND RAPIDS, MI 49546-9023
Phone number: 616-322-1000
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Mailing Address
EVAN JAMES VAN NORTWICK DPT
625 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-2395
Phone number:
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