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1760746226
JACOB ALLAN VANDYKE
GRAND RAPIDS, MI
NPI
1760746226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802087325)
Enumeration Date
2012-06-29
Last Update Date
2012-06-29
Business Address
-- JACOB ALLAN VANDYKE LLBSW
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone number: 616-965-8200
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Mailing Address
-- JACOB ALLAN VANDYKE LLBSW
247 SUNSET HILLS AVE NW
WALKER, MI 49534-5845
Phone number: 616-550-6784
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