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1134653405
RYAN GENNETTE
LANSING, MI
NPI
1134653405
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704307979)
Enumeration Date
2017-04-13
Last Update Date
2019-06-27
Business Address
RYAN GENNETTE NP-C
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-9500
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Mailing Address
RYAN GENNETTE NP-C
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-9500
Copy
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