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1538676713
NATHANAEL CARLSON
GRAND HAVEN, MI
NPI
1538676713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501016307)
Enumeration Date
2018-01-09
Last Update Date
2018-01-09
Business Address
NATHANAEL CARLSON PT
15100 WHITTAKER WAY
GRAND HAVEN, MI 49417-8696
Phone number: 616-935-6280
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Mailing Address
NATHANAEL CARLSON PT
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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