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1932648615
LORI VANDERWAL
GRAND RAPIDS, MI
NPI
1932648615
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2017-02-15
Last Update Date
2017-02-15
Business Address
-- LORI VANDERWAL
3492 LAKE DR SE
GRAND RAPIDS, MI 49546-4338
Phone number: 616-957-4057
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Mailing Address
-- LORI VANDERWAL
3492 LAKE DR SE
GRAND RAPIDS, MI 49546-4338
Phone number: 616-957-4057
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