JORDAN DEFEVER

WAYLAND, MI
NPI1538699509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501018190)
Enumeration Date2017-06-13
Last Update Date2018-03-17
Business Address
JORDAN DEFEVER
893 E SUPERIOR ST
WAYLAND, MI 49348-9178
Phone number: 616-252-3433
Mailing Address
JORDAN DEFEVER
2780 ROYAL VISTA CT NW APT 201
GRAND RAPIDS, MI 49534-2619
Phone number:
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