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1568538494
DANIEL KENNAY DISTIN
GRAND RAPIDS, MI
NPI
1568538494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501003714)
Enumeration Date
2006-11-24
Last Update Date
2007-07-08
Business Address
Mr. DANIEL KENNAY DISTIN P.T., A.T.,C.
5060 CASCADE RD SE SUITE A
GRAND RAPIDS, MI 49546-3808
Phone number: 616-954-0950
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Mailing Address
Mr. DANIEL KENNAY DISTIN P.T., A.T.,C.
5060 CASCADE RD SE SUITE A
GRAND RAPIDS, MI 49546-3808
Phone number: 616-954-0950
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