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1396228003
MATTHEW MICHAEL BAILEY
GRAND HAVEN, MI
NPI
1396228003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202008415)
Enumeration Date
2018-09-09
Last Update Date
2018-09-09
Business Address
Mr. MATTHEW MICHAEL BAILEY COTA/L
900 S BEACON BLVD
GRAND HAVEN, MI 49417-2146
Phone number: 616-846-1850
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Mailing Address
Mr. MATTHEW MICHAEL BAILEY COTA/L
5690 FOREST VIEW ST
ALLENDALE, MI 49401-9325
Phone number: 616-540-4738
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