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1164259115
ANGELA L BULTEMA
GRAND RAPIDS, MI
NPI
1164259115
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
124Q00000X Dental Hygienist
(Licence: MI 2902012749)
Enumeration Date
2024-09-16
Last Update Date
2024-10-16
Business Address
ANGELA L BULTEMA RDH
669 STOCKING AVE NW
GRAND RAPIDS, MI 49504-5176
Phone number: 616-235-1480
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Mailing Address
ANGELA L BULTEMA RDH
550 CHERRY ST SE
GRAND RAPIDS, MI 49503-4748
Phone number: 616-235-7272
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