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1073538336
KATHLEEN SUE DIRKSE
HOLLAND, MI
NPI
1073538336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704110465)
Enumeration Date
2006-07-13
Last Update Date
2010-05-21
Business Address
Miss KATHLEEN SUE DIRKSE FNP
601 MICHIGAN AVE STE 104
HOLLAND, MI 49423-4951
Phone number: 616-392-2361
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Mailing Address
Miss KATHLEEN SUE DIRKSE FNP
601 MICHIGAN AVE STE 104
HOLLAND, MI 49423-4951
Phone number: 616-392-2361
Copy
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