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1225269095
CONNIE RUTH MATTICE
GRAND RAPIDS, MI
NPI
1225269095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 2088590)
Enumeration Date
2009-07-28
Last Update Date
2009-07-28
Business Address
Mrs. CONNIE RUTH MATTICE RN
425 CHERRY ST. S.E PLANNED PARENTHOOD CENTERS OF WEST MICHIGAN
GRAND RAPIDS, MI 49503
Phone number: 616-774-7005
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Mailing Address
Mrs. CONNIE RUTH MATTICE RN
7237 22ND AVE
JENISON, MI 49428-7758
Phone number: 616-457-3143
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