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1427068790
SUE ELLEN DUNHAM
TRAVERSE CITY, MI
NPI
1427068790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704082241)
Enumeration Date
2006-08-09
Last Update Date
2019-04-17
Business Address
SUE ELLEN DUNHAM FNP
4020 COPPER VW STE 104
TRAVERSE CITY, MI 49684
Phone number: 231-421-6921
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Mailing Address
SUE ELLEN DUNHAM FNP
3785 BAY RD
SAGINAW, MI 48603-2433
Phone number: 989-791-2455
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