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1487211025
SAMUEL VANDERWOUDE
GRAND RAPIDS, MI
NPI
1487211025
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251N0400X Physical Therapist, Neurology
Enumeration Date
2019-05-20
Last Update Date
2019-05-20
Business Address
SAMUEL VANDERWOUDE
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
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Mailing Address
SAMUEL VANDERWOUDE
1415 MILTON ST SE
GRAND RAPIDS, MI 49506-1712
Phone number: 503-758-7479
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