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Individual

MRS. JENNIFER LYNN SANDBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7855 CURRIER DR, PORTAGE, MI 49002-4314
(269) 323-7748
(269) 323-1908
Mailing address
8830 COTTONWOOD CRK, PORTLAND, MI 48875-9371
(517) 449-5315
(414) 815-5387

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005410
MI

Other

Enumeration date
11/04/2013
Last updated
11/04/2013
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