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Individual

ARTEMIO JR GORDONAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPTA, AAS, MS, BS

Contact information

Practice address
2305 E PARIS AVE SE STE 202, GRAND RAPIDS, MI 49546-2426
(616) 256-0671
Mailing address
2305 E PARIS AVE SE STE 202, GRAND RAPIDS, MI 49546-2426
(616) 256-0671

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006530
MI

Other

Enumeration date
09/13/2021
Last updated
09/19/2025
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