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1669807970
LISA ANN WATKINS
GRAND RAPIDS, MI
NPI
1669807970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI 4704265502)
Enumeration Date
2013-09-05
Last Update Date
2021-02-19
Business Address
LISA ANN WATKINS CPNP
1545 68TH ST SE STE 100
GRAND RAPIDS, MI 49508-7896
Phone number: 616-267-7881
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Mailing Address
LISA ANN WATKINS CPNP
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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