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1366006942
BEENA PHILIP
GRAND RAPIDS, MI
NPI
1366006942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI 4704232481)
Enumeration Date
2019-04-29
Last Update Date
2022-03-09
Business Address
BEENA PHILIP NP
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503-2537
Phone number: 616-459-7258
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Mailing Address
BEENA PHILIP NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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