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1063137941
JORDAN VENEMAN
GRAND RAPIDS, MI
NPI
1063137941
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704348012)
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
JORDAN VENEMAN
919 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504-5642
Phone number: 616-206-9731
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Mailing Address
JORDAN VENEMAN
919 LAKE MICHIGAN DR NW
GRAND RAPIDS, MI 49504-5642
Phone number: 616-206-9731
Copy
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