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1487905360
JUDY ANN TABER-TANIS
FREMONT, MI
NPI
1487905360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704197858)
Enumeration Date
2012-10-02
Last Update Date
2024-03-01
Business Address
JUDY ANN TABER-TANIS FNP, BC
204 W MAIN ST
FREMONT, MI 49412-1181
Phone number: 231-924-1800
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Mailing Address
JUDY ANN TABER-TANIS FNP, BC
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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