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1902308653
CORAZON MANEJO VILLANUEVA
GRAND RAPIDS, MI
NPI
1902308653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501004450)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
Mrs. CORAZON MANEJO VILLANUEVA PT
1401 CEDAR ST NE
GRAND RAPIDS, MI 49503-1375
Phone number: 844-702-4663
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Mailing Address
Mrs. CORAZON MANEJO VILLANUEVA PT
2456 WHISPERING MEADOWS CT SE
KENTWOOD, MI 49512-3703
Phone number: 734-775-1728
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