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1790532554
TRACI JONES
GRAND RAPIDS, MI
NPI
1790532554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007005)
Enumeration Date
2024-05-01
Last Update Date
2024-05-01
Business Address
TRACI JONES COTA/L
1440 DAVIS AVE NW
GRAND RAPIDS, MI 49504-3112
Phone number: 616-819-2565
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Mailing Address
TRACI JONES COTA/L
1351 BEMIS ST SE
GRAND RAPIDS, MI 49506-2546
Phone number: 616-635-6591
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