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1780192948
BECKY LYNNE KORTMAN
ALLENDALE, MI
NPI
1780192948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007959)
Enumeration Date
2018-01-22
Last Update Date
2018-01-22
Business Address
BECKY LYNNE KORTMAN COTA
7630 PIERCE ST
ALLENDALE, MI 49401-9759
Phone number: 616-895-4801
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Mailing Address
BECKY LYNNE KORTMAN COTA
7630 PIERCE ST
ALLENDALE, MI 49401-9759
Phone number:
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