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1194457242
CARISSA JOY GREENLUND
GRAND RAPIDS, MI
NPI
1194457242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704334888)
Enumeration Date
2022-06-28
Last Update Date
2024-01-29
Business Address
CARISSA JOY GREENLUND FNP
3800 LAKE MICHIGAN DR NW STE A
GRAND RAPIDS, MI 49534-4583
Phone number: 616-267-8256
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Mailing Address
CARISSA JOY GREENLUND FNP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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