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1326567413
SHELLY J CARNEVALE
GRAND RAPIDS, MI
NPI
1326567413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704230671)
Enumeration Date
2017-09-11
Last Update Date
2022-07-21
Business Address
SHELLY J CARNEVALE RN
710 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546-2379
Phone number: 616-588-7246
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Mailing Address
SHELLY J CARNEVALE RN
710 KENMOOR AVE SE STE 200
GRAND RAPIDS, MI 49546-2379
Phone number: 616-588-7246
Copy
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