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1417366030
KAITLIN EZINGA
GRAND RAPIDS, MI
NPI
1417366030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501016809)
Enumeration Date
2014-08-07
Last Update Date
2014-08-07
Business Address
KAITLIN EZINGA PT
150 JEFFERSON AVE SE SUITE 100
GRAND RAPIDS, MI 49503-4306
Phone number: 616-284-3690
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Mailing Address
KAITLIN EZINGA PT
607 DEWEY AVE NW SUITE 300
GRAND RAPIDS, MI 49504-7335
Phone number: 616-356-5000
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