PHYLLIS DIANE BOONE

GRAND RAPIDS, MI
NPI1477838845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704108827)
Enumeration Date2011-10-18
Last Update Date2011-10-18
Business Address
-- PHYLLIS DIANE BOONE N.P.
3600 E FULTON
GRAND RAPIDS, MI 49546-1322
Phone number: 616-949-4971
Mailing Address
-- PHYLLIS DIANE BOONE N.P.
PO BOX 3140
GRAND RAPIDS, MI 49501-3140
Phone number: 616-459-0898
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