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1619546702
JORDAN NICOLE GOTTSCHALK
KALAMAZOO, MI
NPI
1619546702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704311292)
Enumeration Date
2021-06-22
Last Update Date
2021-08-03
Business Address
JORDAN NICOLE GOTTSCHALK NP-C
601 JOHN ST # 74
KALAMAZOO, MI 49007-5341
Phone number: 269-341-8481
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Mailing Address
JORDAN NICOLE GOTTSCHALK NP-C
6941 S 12TH ST
PORTAGE, MI 49024-1017
Phone number: 269-317-8376
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