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1073606059
LOIS R DYKSTRA
GRAND RAPIDS, MI
NPI
1073606059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: MI 4704153985)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
-- LOIS R DYKSTRA RN
3019 COIT NE
GRAND RAPIDS, MI 49505
Phone number: 616-365-9575
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Mailing Address
-- LOIS R DYKSTRA RN
5104 BIRCH
LAKEVIEW, MI 48850
Phone number: 989-352-6564
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