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1255735494
MARY JEAN DEGRAVE
IRON MOUNTAIN, MI
NPI
1255735494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704236417)
Enumeration Date
2014-10-17
Last Update Date
2014-10-17
Business Address
MARY JEAN DEGRAVE N.P.
1721 S STEPHENSON AVE
IRON MOUNTAIN, MI 49801-3637
Phone number: 906-774-1313
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Mailing Address
MARY JEAN DEGRAVE N.P.
E21892 CROOKED LAKE RD
WATERSMEET, MI 49969-9740
Phone number: 906-285-2605
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