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1659886109
SHANNON LEANNE FOSTER
GRAND RAPIDS, MI
NPI
1659886109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201007194)
Enumeration Date
2017-12-06
Last Update Date
2018-06-16
Business Address
SHANNON LEANNE FOSTER MS OTR/L
400 ANN ST NW
GRAND RAPIDS, MI 49504-2052
Phone number: 810-610-7588
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Mailing Address
SHANNON LEANNE FOSTER MS OTR/L
400 ANN ST NW STE 106A
GRAND RAPIDS, MI 49504-2053
Phone number: 810-610-7588
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