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1235605833
JAMIE LYNN GOTHBERG
IONIA, MI
NPI
1235605833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704276419)
Enumeration Date
2018-10-22
Last Update Date
2023-05-12
Business Address
JAMIE LYNN GOTHBERG NP
2776 S STATE RD
IONIA, MI 48846-8472
Phone number: 616-775-7500
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Mailing Address
JAMIE LYNN GOTHBERG NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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