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1912400383
JENNIFER FORTUNA
GRAND RAPIDS, MI
NPI
1912400383
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201008980)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
JENNIFER FORTUNA OTR/L
625 KENMOOR AVE SE STE 306
GRAND RAPIDS, MI 49546-2395
Phone number: 616-942-5744
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Mailing Address
JENNIFER FORTUNA OTR/L
1859 VALLEY PINES DR
HASTINGS, MI 49058-8261
Phone number: 616-724-0338
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