JESSE BRYAN NICODEMUS

GRAND RAPIDS, MI
NPI1386114734
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  201009340)
Enumeration Date2018-11-28
Last Update Date2018-11-28
Business Address
JESSE BRYAN NICODEMUS MOT
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546-5906
Phone number: 616-831-8666
Mailing Address
JESSE BRYAN NICODEMUS MOT
2320 E BELTLINE AVE SE
GRAND RAPIDS, MI 49546-5906
Phone number: 616-831-8666
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