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1679783120
RUTH JEAN VANDENBERG
GRAND RAPIDS, MI
NPI
1679783120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004042)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Miss RUTH JEAN VANDENBERG P.A.-C.
1330 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505-4913
Phone number: 616-776-0814
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Mailing Address
Miss RUTH JEAN VANDENBERG P.A.-C.
PO BOX 2564
GRAND RAPIDS, MI 49501-2564
Phone number: 646-776-0814
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