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1871851600
JADE A PASKEWICZ
GRAND RAPIDS, MI
NPI
1871851600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601000350)
Enumeration Date
2012-04-30
Last Update Date
2012-04-30
Business Address
-- JADE A PASKEWICZ ATC/L
4100 LAKE DR SE STE 305
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-8860
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Mailing Address
-- JADE A PASKEWICZ ATC/L
4559 GRANTWOOD AVE SE
KENTWOOD, MI 49508-4533
Phone number:
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