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1619470390
SHELLEY JOY POTTER
GRAND RAPIDS, MI
NPI
1619470390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011153)
Enumeration Date
2018-03-08
Last Update Date
2018-03-08
Business Address
SHELLEY JOY POTTER
1401 CEDAR ST NE
GRAND RAPIDS, MI 49503-1375
Phone number: 616-466-0217
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Mailing Address
SHELLEY JOY POTTER
7250 DANBORO AVE NE
ROCKFORD, MI 49341-7336
Phone number:
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