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1205194248
SUSAN L MASTENBROOK
KALAMAZOO, MI
NPI
1205194248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704207644)
Enumeration Date
2012-04-27
Last Update Date
2022-12-27
Business Address
SUSAN L MASTENBROOK NP
1521 GULL RD
KALAMAZOO, MI 49048-1640
Phone number: 269-226-7000
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Mailing Address
SUSAN L MASTENBROOK NP
5943 STADIUM DR
KALAMAZOO, MI 49009-3016
Phone number:
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