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1730681503
DIANE MARIE POTGETER
GRAND RAPIDS, MI
NPI
1730681503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501008928)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
Mrs. DIANE MARIE POTGETER PT
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-6264
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Mailing Address
Mrs. DIANE MARIE POTGETER PT
6208 145TH AVE
HOLLAND, MI 49423-8904
Phone number: 616-901-1818
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