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1801204805
WENDY CORELLI
GRAND RAPIDS, MI
NPI
1801204805
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601000718)
Enumeration Date
2014-07-23
Last Update Date
2014-07-23
Business Address
-- WENDY CORELLI MS, AT., ATC
6191 KRAFT AVE SE
GRAND RAPIDS, MI 49512-9396
Phone number: 616-871-6186
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Mailing Address
-- WENDY CORELLI MS, AT., ATC
15096 OAKLAND ST
SPRING LAKE, MI 49456-2721
Phone number: 616-566-7924
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