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1619232162
JOSHUA KORNOELY
GRAND RAPIDS, MI
NPI
1619232162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601000233)
Enumeration Date
2012-07-11
Last Update Date
2012-07-11
Business Address
-- JOSHUA KORNOELY ATC
428 BRIDGE ST NW
GRAND RAPIDS, MI 49504-5322
Phone number: 616-451-4284
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Mailing Address
-- JOSHUA KORNOELY ATC
428 BRIDGE ST NW
GRAND RAPIDS, MI 49504-5322
Phone number: 616-451-4284
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