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1477838845
PHYLLIS DIANE BOONE
GRAND RAPIDS, MI
NPI
1477838845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704108827)
Enumeration Date
2011-10-18
Last Update Date
2011-10-18
Business Address
-- PHYLLIS DIANE BOONE N.P.
3600 E FULTON
GRAND RAPIDS, MI 49546-1322
Phone number: 616-949-4971
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Mailing Address
-- PHYLLIS DIANE BOONE N.P.
PO BOX 3140
GRAND RAPIDS, MI 49501-3140
Phone number: 616-459-0898
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