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1780186346
PHILIP L JAHN
GRAND RAPIDS, MI
NPI
1780186346
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502000435)
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
PHILIP L JAHN PTA
2121 RAYBROOK ST SE
GRAND RAPIDS, MI 49546-5793
Phone number: 616-235-3115
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Mailing Address
PHILIP L JAHN PTA
2809 RIVER RD
TWIN LAKE, MI 49457-8826
Phone number: 231-750-0719
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