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1972007771
KAYLE ANN LAVICTOIRE
GRAND RAPIDS, MI
NPI
1972007771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501016490)
Enumeration Date
2018-03-19
Last Update Date
2021-04-20
Business Address
KAYLE ANN LAVICTOIRE DPT
5500 BURTON ST SE
GRAND RAPIDS, MI 49546-6711
Phone number: 616-840-7529
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Mailing Address
KAYLE ANN LAVICTOIRE DPT
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546-8328
Phone number: 616-252-1530
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