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1790228427
GRANT FALL
BYRON CENTER, MI
NPI
1790228427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501017885)
Enumeration Date
2016-11-29
Last Update Date
2016-11-29
Business Address
-- GRANT FALL
2185 84TH ST SW SUITE H
BYRON CENTER, MI 49315-8020
Phone number: 616-249-2924
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Mailing Address
-- GRANT FALL
2120 43RD ST SE SUITE 100
GRAND RAPIDS, MI 49508-3772
Phone number:
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