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1376012054
KEVIN JOHN MANSFIELD
GRAND RAPIDS, MI
NPI
1376012054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502001704)
Enumeration Date
2018-11-25
Last Update Date
2018-11-25
Business Address
KEVIN JOHN MANSFIELD
630 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546-8626
Phone number: 800-379-1600
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Mailing Address
KEVIN JOHN MANSFIELD
7586 RANSOM ST
ZEELAND, MI 49464-9506
Phone number: 616-886-2218
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