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1407630643
LAKE FOCO
GRAND HAVEN, MI
NPI
1407630643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2023-08-21
Last Update Date
2024-04-22
Business Address
LAKE FOCO DPT
17272 ROBBINS RD STE 102
GRAND HAVEN, MI 49417-2677
Phone number: 616-256-8670
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Mailing Address
LAKE FOCO DPT
PO BOX 30516 DEPT 5300
LANSING, MI 48909
Phone number:
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