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1518574482
RUSSELL T NEHER
GRAND RAPIDS, MI
NPI
1518574482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502003945)
Enumeration Date
2020-09-25
Last Update Date
2020-09-25
Business Address
RUSSELL T NEHER PTA
4450 CASCADE RD SE
GRAND RAPIDS, MI 49546-3633
Phone number: 616-949-5140
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Mailing Address
RUSSELL T NEHER PTA
3370 SAGECREST DR
HUDSONVILLE, MI 49426-8827
Phone number: 989-430-4581
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