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1811448947
DONALD BOOMGAARD
GRAND RAPIDS, MI
NPI
1811448947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2016-10-24
Last Update Date
2016-10-24
Business Address
-- DONALD BOOMGAARD
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
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Mailing Address
-- DONALD BOOMGAARD
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
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