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1780257204
IAN HEINKELE
GRAND RAPIDS, MI
NPI
1780257204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201010329)
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
IAN HEINKELE OTR/L
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506-2921
Phone number: 616-774-7444
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Mailing Address
IAN HEINKELE OTR/L
1840 WEALTHY ST SE
GRAND RAPIDS, MI 49506-2921
Phone number:
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