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1457624942
KEVIN FREDERICK CHURCHILL
GRAND RAPIDS, MI
NPI
1457624942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501015557)
Enumeration Date
2012-02-15
Last Update Date
2022-07-18
Business Address
KEVIN FREDERICK CHURCHILL DPT
4120 E BELTLINE NE SUITE 200
GRAND RAPIDS, MI 49525
Phone number: 616-365-2709
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Mailing Address
KEVIN FREDERICK CHURCHILL DPT
PO BOX 30516 DEPT 5300
LANSING, MI 48909
Phone number:
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