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1134773468
STEPHANIE C MULLENNIX
GRAND RAPIDS, MI
NPI
1134773468
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364S00000X Clinical Nurse Specialist
(Licence: MI 4704230534)
Enumeration Date
2019-07-25
Last Update Date
2019-07-25
Business Address
Mrs. STEPHANIE C MULLENNIX RN, CEN, AGCNS-BC
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546-2416
Phone number: 616-988-8233
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Mailing Address
Mrs. STEPHANIE C MULLENNIX RN, CEN, AGCNS-BC
8938 COTTONWOOD DR
JENISON, MI 49428-9510
Phone number: 616-325-0069
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