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1215972633
LAURA J SAMUEL
GRAND RAPIDS, MI
NPI
1215972633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 470247929)
Enumeration Date
2006-06-19
Last Update Date
2007-07-09
Business Address
-- LAURA J SAMUEL NP
3700 52ND ST SE
GRAND RAPIDS, MI 49512-9637
Phone number: 616-656-3700
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Mailing Address
-- LAURA J SAMUEL NP
3700 52ND ST SE
GRAND RAPIDS, MI 49512-9637
Phone number: 616-656-3700
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