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1548811201
CHARLA LARAE SMITH
GRAND RAPIDS, MI
NPI
1548811201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704321255)
Enumeration Date
2019-09-24
Last Update Date
2024-02-12
Business Address
CHARLA LARAE SMITH NP-C
100 MICHIGAN ST NE STE 8861
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-6588
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Mailing Address
CHARLA LARAE SMITH NP-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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