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1558720995
JORDAN LAFAVE
GRAND RAPIDS, MI
NPI
1558720995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 274346-440)
Enumeration Date
2016-02-13
Last Update Date
2020-05-27
Business Address
JORDAN LAFAVE D.O.
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 866-989-7999
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Mailing Address
JORDAN LAFAVE D.O.
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546-2416
Phone number: 616-988-8220
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