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1558744797
CLARA VANDERWEIDE
GRAND RAPIDS, MI
NPI
1558744797
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Former Name
CLARA DEJONGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704293832)
Enumeration Date
2015-07-07
Last Update Date
2015-07-07
Business Address
-- CLARA VANDERWEIDE
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503-4920
Phone number: 616-685-8400
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Mailing Address
-- CLARA VANDERWEIDE
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number:
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