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1366117533
JUANITA G DEFAY
KALAMAZOO, MI
NPI
1366117533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MI 4704191219)
Enumeration Date
2021-08-10
Last Update Date
2021-12-28
Business Address
JUANITA G DEFAY RN, BAS
4000 PORTAGE ST STE 113
KALAMAZOO, MI 49001-4962
Phone number: 269-759-4823
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Mailing Address
JUANITA G DEFAY RN, BAS
110 S BENTON CENTER RD
BENTON HARBOR, MI 49022-9782
Phone number: 269-759-4823
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