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1649602061
LORI LYNN BAST
GRAND RAPIDS, MI
NPI
1649602061
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Former Name
LORI LYNN MCDONAGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WC0400X Registered Nurse, Case Management
(Licence: MI 4704294077)
Enumeration Date
2013-08-08
Last Update Date
2013-08-08
Business Address
-- LORI LYNN BAST RN
1450 LEONARD ST NE
GRAND RAPIDS, MI 49505-5515
Phone number: 616-774-8789
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Mailing Address
-- LORI LYNN BAST RN
1450 LEONARD ST NE
GRAND RAPIDS, MI 49505-5515
Phone number: 616-774-8789
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