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1750393773
COURTNEY ANN VANDEWEGE
GRAND RAPIDS, MI
NPI
1750393773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2006-08-12
Last Update Date
2007-07-08
Business Address
-- COURTNEY ANN VANDEWEGE ATC
2211 LAKE DR SE
GRAND RAPIDS, MI 49506-3026
Phone number: 616-322-3145
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Mailing Address
-- COURTNEY ANN VANDEWEGE ATC
5480 PARK AVE
HUDSONVILLE, MI 49426-1245
Phone number: 616-322-3145
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