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1275279630
AUTUMN SOPHIA BALDWIN
GRAND RAPIDS, MI
NPI
1275279630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704300307)
Enumeration Date
2022-05-09
Last Update Date
2022-09-09
Business Address
AUTUMN SOPHIA BALDWIN A-GNP
2900 BRADFORD ST NE
GRAND RAPIDS, MI 49525-6427
Phone number: 616-885-5000
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Mailing Address
AUTUMN SOPHIA BALDWIN A-GNP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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