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1386492080
JACOB LYON
GRAND RAPIDS, MI
NPI
1386492080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MI 5151016567)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
JACOB LYON DO
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-456-0857
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Mailing Address
JACOB LYON DO
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number:
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