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1114141611
JUDY R HALVERSON
GRAND RAPIDS, MI
NPI
1114141611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MI 4703084645)
Enumeration Date
2007-04-13
Last Update Date
2007-07-08
Business Address
Ms. JUDY R HALVERSON LPN
1256 WALKER AVE NW
GRAND RAPIDS, MI 49504-4067
Phone number: 616-235-2910
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Mailing Address
Ms. JUDY R HALVERSON LPN
1372 SAFFRON LN SE APT. 1B
GRAND RAPIDS, MI 49508-7342
Phone number: 616-554-5284
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