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1679875108
CARLA J WYLIE
GRAND RAPIDS, MI
NPI
1679875108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201000819)
Enumeration Date
2010-12-05
Last Update Date
2017-12-29
Business Address
Mrs. CARLA J WYLIE O.T.R.
1305 WALKER AVE N.W.
GRAND RAPIDS, MI 49504
Phone number: 616-490-2914
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Mailing Address
Mrs. CARLA J WYLIE O.T.R.
1305 WALKER AVE N.W
GRAND RAPIDS, MI 49504
Phone number: 616-490-2914
Copy
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