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1528545415
SHELLY GERMAINE TEESDALE
GRAND RAPIDS, MI
NPI
1528545415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201007005)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
SHELLY GERMAINE TEESDALE MSOTR/L
4450 CASCADE RD SE
GRAND RAPIDS, MI 49546-3633
Phone number: 616-949-5140
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Mailing Address
SHELLY GERMAINE TEESDALE MSOTR/L
2063 WINSTON VIEW DR NE
CEDAR SPRINGS, MI 49319-7947
Phone number: 616-862-8900
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