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1699725200
JEFFERY D REGAN
GRAND RAPIDS, MI
NPI
1699725200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501004863)
Enumeration Date
2006-05-12
Last Update Date
2013-09-17
Business Address
Mr. JEFFERY D REGAN PT
230 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2550
Phone number: 616-459-7101
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Mailing Address
Mr. JEFFERY D REGAN PT
1111 LEFFINGWELL AVE NE SUITE 300
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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