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1528631926
MATTHEW JAMES SHOOK
GRAND RAPIDS, MI
NPI
1528631926
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501018661)
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
MATTHEW JAMES SHOOK PT, DPT
750 FULLER AVE NE
GRAND RAPIDS, MI 49503-1918
Phone number: 269-929-1954
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Mailing Address
MATTHEW JAMES SHOOK PT, DPT
131 MAYFIELD AVE NE
GRAND RAPIDS, MI 49503-3766
Phone number:
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