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1528315751
CAROLYN WICHLACZ
GRAND RAPIDS, MI
NPI
1528315751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501006957)
Enumeration Date
2012-08-07
Last Update Date
2012-08-07
Business Address
Mrs. CAROLYN WICHLACZ P.T.
1471 GRACE ST SE
GRAND RAPIDS, MI 49506-1678
Phone number: 616-913-2006
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Mailing Address
Mrs. CAROLYN WICHLACZ P.T.
1471 GRACE ST SE
GRAND RAPIDS, MI 49506-1678
Phone number: 616-913-2006
Copy
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