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1467765107
JASON VANDERLUGT
HOLLAND, MI
NPI
1467765107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 4301096386)
Enumeration Date
2010-07-22
Last Update Date
2013-08-22
Business Address
-- JASON VANDERLUGT M.D.
602 MICHIGAN AVE BOVEN BIRTH CENTER
HOLLAND, MI 49423-4918
Phone number: 616-393-0166
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Mailing Address
-- JASON VANDERLUGT M.D.
926 WASHINGTON AVE BUILDING C
HOLLAND, MI 49423-7725
Phone number: 616-393-0166
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