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1467183517
IGUELLE BERNARD
GRAND RAPIDS, MI
NPI
1467183517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704282267)
Enumeration Date
2022-06-20
Last Update Date
2024-03-21
Business Address
IGUELLE BERNARD PMHNP-BC
1001 MEDICAL PARK DR SE
GRAND RAPIDS, MI 49546-3610
Phone number: 616-929-3617
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Mailing Address
IGUELLE BERNARD PMHNP-BC
6920 KALAMAZOO AVE SE
CALEDONIA, MI 49316-8413
Phone number: 616-929-3617
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