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1215977509
SARAH BOOMSTRA
GRAND RAPIDS, MI
NPI
1215977509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704218762)
Enumeration Date
2006-06-07
Last Update Date
2007-07-09
Business Address
-- SARAH BOOMSTRA NP
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-6243
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Mailing Address
-- SARAH BOOMSTRA NP
100 MICHIGAN ST NE MC 109 ATTN JULIE L
GRAND RAPIDS, MI 49503-2560
Phone number:
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