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Individual

SHAUN WATSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7272 EASTERN AVE SE, GRAND RAPIDS, MI 49508-7436
(231) 383-5606
Mailing address
7272 EASTERN AVE SE, GRAND RAPIDS, MI 49508-7436
(231) 383-5606

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007691
MI

Other

Enumeration date
10/11/2020
Last updated
10/11/2020
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