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Individual

JAMES J BOTTENHORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LLP

Contact information

Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
Mailing address
3274 PESHTIGO DR SW, GRANDVILLE, MI 49418-3018
(616) 249-0939

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301007617
MI

Other

Enumeration date
05/28/2006
Last updated
07/24/2012
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