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1407266448
JAMES LANCIAUX
GRAND RAPIDS, MI
NPI
1407266448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: MI L2553419)
Enumeration Date
2014-04-29
Last Update Date
2014-04-29
Business Address
JAMES LANCIAUX AT, ATC
4100 LAKE DR SE SUITE 305
GRAND RAPIDS, MI 49546-8292
Phone number: 231-519-0100
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Mailing Address
JAMES LANCIAUX AT, ATC
227 WARREN AVE SE APT 1
GRAND RAPIDS, MI 49506-1535
Phone number: 231-519-0100
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