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1396140919
DAN GAUTZ
GRAND RAPIDS, MI
NPI
1396140919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date
2014-10-24
Last Update Date
2014-10-24
Business Address
-- DAN GAUTZ
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534-9578
Phone number: 616-677-5251
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Mailing Address
-- DAN GAUTZ
O-1859 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49534-9578
Phone number:
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