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1760252670
JUSTIN PEDERSEN
HOLLAND, MI
NPI
1760252670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501303026)
Enumeration Date
2024-01-03
Last Update Date
2024-01-03
Business Address
JUSTIN PEDERSEN DPT
437 BUTTERNUT DR
HOLLAND, MI 49424-1577
Phone number: 616-355-3055
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Mailing Address
JUSTIN PEDERSEN DPT
PO BOX 412031
BOSTON, MA 02241-2031
Phone number: 914-294-4050
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