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1184274086
SAMUEL EDMOND WOODS
GRAND RAPIDS, MI
NPI
1184274086
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704272884)
Enumeration Date
2019-09-13
Last Update Date
2019-09-16
Business Address
SAMUEL EDMOND WOODS NP
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-5000
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Mailing Address
SAMUEL EDMOND WOODS NP
PO BOX 74007185
CHICAGO, IL 60674-7185
Phone number: 855-691-9890
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