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Individual

DR. LINDA S SQUIRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
3368 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9480
(800) 987-1368
(616) 363-6679
Mailing address
2059 COLLEGE AVE SE, GRAND RAPIDS, MI 49507-3101
(617) 538-8152
(616) 363-7795

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1132
MA
111N00000X
Chiropractor
Primary
230101064
MI

Other

Enumeration date
09/11/2006
Last updated
06/16/2014
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