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1386090645
DIANE THERESA CAPEN
GRAND RAPIDS, MI
NPI
1386090645
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI L304963)
Enumeration Date
2016-05-05
Last Update Date
2016-05-05
Business Address
-- DIANE THERESA CAPEN PTA, CLT
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-840-8301
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Mailing Address
-- DIANE THERESA CAPEN PTA, CLT
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-840-8301
Copy
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