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1124280219
JAYNE DEUR PETTINGA
GRAND RAPIDS, MI
NPI
1124280219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704119236)
Enumeration Date
2008-06-30
Last Update Date
2008-06-30
Business Address
Ms. JAYNE DEUR PETTINGA Nurse Practitioner
3200 KNIGHT WAY SE CALVIN COLLEGE HEALTH SERVICES
GRAND RAPIDS, MI 49546-4407
Phone number: 616-526-6187
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Mailing Address
Ms. JAYNE DEUR PETTINGA Nurse Practitioner
3200 KNIGHT WAY SE CALVIN COLLEGE HEALTH SERVICES
GRAND RAPIDS, MI 49546-4407
Phone number: 616-526-6187
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