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1801470620
KEVIN ROBERT LANG
GRAND RAPIDS, MI
NPI
1801470620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201009234)
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
KEVIN ROBERT LANG OTR/L
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-352-0233
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Mailing Address
KEVIN ROBERT LANG OTR/L
1311 NORTHLAWN ST NE
GRAND RAPIDS, MI 49505-3867
Phone number:
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