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1710575303
PRISCILLA JIMENEZ
GRAND RAPIDS, MI
NPI
1710575303
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704230272NSA200YP)
Enumeration Date
2021-01-08
Last Update Date
2022-01-23
Business Address
Ms. PRISCILLA JIMENEZ PMHNP-BC
710 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-2379
Phone number: 586-944-5827
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Mailing Address
Ms. PRISCILLA JIMENEZ PMHNP-BC
710 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546-2379
Phone number: 617-379-0434
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