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1417294620
ROLLAND DEAN MAMBOURG
GRAND RAPIDS, MI
NPI
1417294620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301039783)
Enumeration Date
2013-01-08
Last Update Date
2013-01-08
Business Address
Dr. ROLLAND DEAN MAMBOURG MD
200 JEFFERSON AVE SE MEDICAL STAFF OFFICE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-6612
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Mailing Address
Dr. ROLLAND DEAN MAMBOURG MD
200 JEFFERSON AVE SE MEDICAL STAFF OFFICE
GRAND RAPIDS, MI 49503-4502
Phone number:
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