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1609697564
JACOB KEUNING
WYOMING, MI
NPI
1609697564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704354547)
Enumeration Date
2024-10-22
Last Update Date
2024-10-22
Business Address
JACOB KEUNING
5900 BYRON CENTER AVE SW
WYOMING, MI 49519-9606
Phone number: 616-252-7200
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Mailing Address
JACOB KEUNING
2900 GIDDINGS AVE SE
GRAND RAPIDS, MI 49508-1430
Phone number: 970-903-4339
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