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1710316047
KENNETH SPAULDING
HOLLAND, MI
NPI
1710316047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI L2262582)
Enumeration Date
2013-11-07
Last Update Date
2013-11-07
Business Address
-- KENNETH SPAULDING PTA
1221 E 16TH ST
HOLLAND, MI 49423-9127
Phone number: 616-396-7095
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Mailing Address
-- KENNETH SPAULDING PTA
1221 E 16TH ST
HOLLAND, MI 49423-9127
Phone number: 616-396-7095
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