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1871994186
KELLY HEYSE
LUDINGTON, MI
NPI
1871994186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202005019)
Enumeration Date
2014-09-07
Last Update Date
2014-09-07
Business Address
KELLY HEYSE COTA/L
1000 E TINKHAM AVE
LUDINGTON, MI 49431-1568
Phone number: 231-845-6291
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Mailing Address
KELLY HEYSE COTA/L
1000 E TINKHAM AVE
LUDINGTON, MI 49431-1568
Phone number: 231-845-6291
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