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1578806444
PHILIP VANDER VENNEN
HOLLAND, MI
NPI
1578806444
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2013-03-29
Last Update Date
2013-03-29
Business Address
-- PHILIP VANDER VENNEN LLBSW
12265 JAMES ST
HOLLAND, MI 49424-8613
Phone number: 616-494-5698
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Mailing Address
-- PHILIP VANDER VENNEN LLBSW
12265 JAMES ST
HOLLAND, MI 49424-8613
Phone number: 616-494-5698
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