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1174525042
KATHY DIANE REID
TRAVERSE CITY, MI
NPI
1174525042
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI 4704133106)
Enumeration Date
2005-08-11
Last Update Date
2015-10-28
Business Address
-- KATHY DIANE REID APRN,BC
1000 PAVILLIONS CIR
TRAVERSE CITY, MI 49684-3198
Phone number: 231-932-3801
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Mailing Address
-- KATHY DIANE REID APRN,BC
10850 E TRAVERSE HWY
TRAVERSE CITY, MI 49684-1364
Phone number: 231-346-6930
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