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1508092354
MARY CAROL VANDER WAL
MARNE, MI
NPI
1508092354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704118232)
Enumeration Date
2009-06-08
Last Update Date
2009-06-08
Business Address
-- MARY CAROL VANDER WAL NP
13712 32ND AVE
MARNE, MI 49435-9727
Phone number: 616-677-3633
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Mailing Address
-- MARY CAROL VANDER WAL NP
13712 32ND AVE
MARNE, MI 49435-9727
Phone number: 616-677-3633
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