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Individual

JANAE MARIE STEWART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AT, ATC, CSCS

Contact information

Practice address
5060 CASCADE RD SE, GRAND RAPIDS, MI 49546-3808
(616) 954-0950
Mailing address
12520 BAILEY DR NE, LOWELL, MI 49331-9782
(616) 836-9891

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000649
MI

Other

Enumeration date
03/05/2018
Last updated
03/05/2018
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