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1164895827
LISA MASTER
GRAND RAPIDS, MI
NPI
1164895827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704253580)
Enumeration Date
2015-11-03
Last Update Date
2021-03-03
Business Address
LISA MASTER
100 MICHIGAN ST NE FLOOR 3W
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-1714
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Mailing Address
LISA MASTER
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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