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1487253654
CALEB SCOTT PARKS
GRAND RAPIDS, MI
NPI
1487253654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704287084)
Enumeration Date
2020-10-20
Last Update Date
2022-06-07
Business Address
CALEB SCOTT PARKS NP
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546-8816
Phone number: 616-267-7700
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Mailing Address
CALEB SCOTT PARKS NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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