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1497117535
IRIS CZERNIAK
GRAND RAPIDS, MI
NPI
1497117535
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017014)
Enumeration Date
2016-03-28
Last Update Date
2016-03-28
Business Address
-- IRIS CZERNIAK PT
3000 MONROE AVE NE
GRAND RAPIDS, MI 49505-3313
Phone number: 248-349-9595
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Mailing Address
-- IRIS CZERNIAK PT
851 PENNIMAN AVE
PLYMOUTH, MI 48170-1621
Phone number: 248-349-9595
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