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1295421147
SHAUNA MARIE NORTHUP
WYOMING, MI
NPI
1295421147
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
SHAUNA MARIE NORTHUP DO
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone number: 616-252-7200
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Mailing Address
SHAUNA MARIE NORTHUP DO
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone number: 616-252-7200
Copy
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