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1760849004
JILL WIERSMA
GRAND RAPIDS, MI
NPI
1760849004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2016-01-18
Last Update Date
2021-09-01
Business Address
JILL WIERSMA
345 FULLER AVE NE
GRAND RAPIDS, MI 49503
Phone number: 616-608-8938
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Mailing Address
JILL WIERSMA
PO BOX 30516 DEPT 5300
LANSING, MI 48909
Phone number: 231-737-4374
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