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1548685464
JACOB FILLMORE
GRAND RAPIDS, MI
NPI
1548685464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2014-02-28
Last Update Date
2014-02-28
Business Address
-- JACOB FILLMORE
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
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Mailing Address
-- JACOB FILLMORE
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
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