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1003342551
KATHERINE PRUSS
GRAND RAPIDS, MI
NPI
1003342551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704274169)
Enumeration Date
2017-05-03
Last Update Date
2017-05-03
Business Address
Dr. KATHERINE PRUSS DNP
3201 BURTON ST SE SB 260
GRAND RAPIDS, MI 49546-4301
Phone number: 616-526-6808
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Mailing Address
Dr. KATHERINE PRUSS DNP
3411 BURTON RIDGE RD SE APT B
GRAND RAPIDS, MI 49546-5834
Phone number: 734-223-4562
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