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1154078533
DOUGLAS JAMES AUSTIN
GRAND RAPIDS, MI
NPI
1154078533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI 4704277657)
Enumeration Date
2022-03-07
Last Update Date
2022-03-07
Business Address
DOUGLAS JAMES AUSTIN NP
695 KENMOOR AVE SE # B
GRAND RAPIDS, MI 49546-2375
Phone number: 616-956-0636
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Mailing Address
DOUGLAS JAMES AUSTIN NP
1928 LETART AVE
MUSKEGON, MI 49441-1453
Phone number: 616-260-3170
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