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1447090170
LAURIE BETH VANDERJAGT
GRAND RAPIDS, MI
NPI
1447090170
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Former Name
LAURIE BETH BAJEMA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704258632)
Enumeration Date
2024-05-30
Last Update Date
2024-08-26
Business Address
LAURIE BETH VANDERJAGT FNP-C
4100 LAKE DR SE STE 300
GRAND RAPIDS, MI 49546-8292
Phone number: 616-267-8860
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Mailing Address
LAURIE BETH VANDERJAGT FNP-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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