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1811545031
KYLE VANDERWOUDE
GRAND RAPIDS, MI
NPI
1811545031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501019310)
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
KYLE VANDERWOUDE DPT
933 3 MILE RD NW STE 104
GRAND RAPIDS, MI 49544-1673
Phone number: 616-233-3592
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Mailing Address
KYLE VANDERWOUDE DPT
150 JEFFERSON AVE SE STE 100
GRAND RAPIDS, MI 49503-4306
Phone number: 616-284-3690
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