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1801019674
DIANE M DANGL
GRAND RAPIDS, MI
NPI
1801019674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202006699)
Enumeration Date
2007-04-10
Last Update Date
2007-07-08
Business Address
Mrs. DIANE M DANGL COTA
2161 LEONARD ST NW
GRAND RAPIDS, MI 49504-3829
Phone number: 616-453-7715
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Mailing Address
Mrs. DIANE M DANGL COTA
1855 LARAWAY LN SE
GRAND RAPIDS, MI 49546-6602
Phone number: 616-682-0668
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