JAMES LANCIAUX

GRAND RAPIDS, MI
NPI1407266448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  L2553419)
Enumeration Date2014-04-29
Last Update Date2014-04-29
Business Address
-- JAMES LANCIAUX AT, ATC
4100 LAKE DR SE SUITE 305
GRAND RAPIDS, MI 49546-8292
Phone number: 231-519-0100
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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