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1336922244
KATHERINE RIDDLE
SOUTHGATE, MI
NPI
1336922244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704318916)
Enumeration Date
2023-08-15
Last Update Date
2024-04-17
Business Address
KATHERINE RIDDLE AGACNP-BC
15750 NORTHLINE RD
SOUTHGATE, MI 48195-2378
Phone number: 734-357-0505
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Mailing Address
KATHERINE RIDDLE AGACNP-BC
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-205-4800
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