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1750002622
ANTHONY WOODARD
GRAND RAPIDS, MI
NPI
1750002622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501301842)
Enumeration Date
2022-09-08
Last Update Date
2022-09-08
Business Address
ANTHONY WOODARD
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506-2921
Phone number: 616-774-7444
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Mailing Address
ANTHONY WOODARD
6069 RIDGEVIEW DR
NORTON SHORES, MI 49441-6143
Phone number: 231-670-7408
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