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1790141364
CLYDE LEIGH
GRAND RAPIDS, MI
NPI
1790141364
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MI 7501003119)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
-- CLYDE LEIGH MT
890 3 MILE RD NW STE 1
GRAND RAPIDS, MI 49544-8216
Phone number: 616-460-9814
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Mailing Address
-- CLYDE LEIGH MT
2060 ELMRIDGE DR NW
GRAND RAPIDS, MI 49504-2306
Phone number: 616-648-7707
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