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1073553194
LYNN EBERTS FAGERMAN
GRAND RAPIDS, MI
NPI
1073553194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704123571)
Enumeration Date
2006-06-07
Last Update Date
2025-01-06
Business Address
LYNN EBERTS FAGERMAN PNP
426 MICHIGAN ST NE SUITE 102
GRAND RAPIDS, MI 49503-5623
Phone number: 616-391-2957
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Mailing Address
LYNN EBERTS FAGERMAN PNP
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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