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1558900183
KATHRYN LONG
GRAND RAPIDS, MI
NPI
1558900183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MI 4704253154)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
Ms. KATHRYN LONG NP-C
1055 MEDICAL PARK DR SE
GRAND RAPIDS, MI 49546-3607
Phone number: 616-942-9610
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Mailing Address
Ms. KATHRYN LONG NP-C
1055 MEDICAL PARK DR SE
GRAND RAPIDS, MI 49546-3607
Phone number: 616-942-9610
Copy
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