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1679135958
BERNICE ALICE THEULE
GRAND RAPIDS, MI
NPI
1679135958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704194529)
Enumeration Date
2019-07-08
Last Update Date
2023-10-23
Business Address
BERNICE ALICE THEULE NP-C
2750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525-8614
Phone number: 616-267-7015
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Mailing Address
BERNICE ALICE THEULE NP-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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