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1164776423
LAUREL PATRICIA JESSUP
GRAND RAPIDS, MI
NPI
1164776423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MI 4704350423)
Enumeration Date
2012-11-07
Last Update Date
2021-02-17
Business Address
LAUREL PATRICIA JESSUP CNM
100 MICHIGAN ST NE # MC027
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-2160
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Mailing Address
LAUREL PATRICIA JESSUP CNM
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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