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1356665798
REYNALDO SOTO
GRAND RAPIDS, MI
NPI
1356665798
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502002449)
Enumeration Date
2010-03-14
Last Update Date
2010-03-14
Business Address
-- REYNALDO SOTO LPTA
3019 COIT AVE NE
GRAND RAPIDS, MI 49505-3376
Phone number: 616-365-9575
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Mailing Address
-- REYNALDO SOTO LPTA
3004 WOODSBORO DR NE
GRAND RAPIDS, MI 49525-3055
Phone number: 616-363-4239
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