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1578847612
JOANN SOUTHERN
GRAND RAPIDS, MI
NPI
1578847612
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: MI 2705001197)
Enumeration Date
2011-10-07
Last Update Date
2011-10-07
Business Address
-- JOANN SOUTHERN 2705001197
2893 28TH ST SE
GRAND RAPIDS, MI 49512-1622
Phone number: 616-241-1216
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Mailing Address
-- JOANN SOUTHERN 2705001197
2893 28TH ST SE
GRAND RAPIDS, MI 49512-1622
Phone number: 616-241-1216
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