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1659536688
LATISHA LYNNE DEYOUNG
GRAND RAPIDS, MI
NPI
1659536688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704202168)
Enumeration Date
2008-07-18
Last Update Date
2024-10-28
Business Address
Ms. LATISHA LYNNE DEYOUNG NP
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503-4677
Phone number: 616-486-6870
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Mailing Address
Ms. LATISHA LYNNE DEYOUNG NP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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