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1760568042
DINIWE PETER
GRAND RAPIDS, MI
NPI
1760568042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501011672)
Enumeration Date
2006-10-28
Last Update Date
2007-07-08
Business Address
Ms. DINIWE PETER RPT
1001 MEDICAL PARK DR SE SUITE 111
GRAND RAPIDS, MI 49546-3610
Phone number: 616-957-4014
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Mailing Address
Ms. DINIWE PETER RPT
1001 MEDICAL PARK DR SE SUITE 111
GRAND RAPIDS, MI 49546-3610
Phone number: 616-957-4014
Copy
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