EDWIN DALE LANDON

GRAND RAPIDS, MI
NPI1437407764
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  55020002800)
Enumeration Date2012-08-16
Last Update Date2012-08-16
Business Address
Mr. EDWIN DALE LANDON PTA
428 BRIDGE ST NW
GRAND RAPIDS, MI 49504-5322
Phone number: 616-451-4284
Mailing Address
Mr. EDWIN DALE LANDON PTA
428 BRIDGE ST NW
GRAND RAPIDS, MI 49504-5322
Phone number: 616-451-4284
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