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1720410400
COURTNEY ANNE LANE
GRAND RAPIDS, MI
NPI
1720410400
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Former Name
COURTNEY ANNE PHILLIPS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MI 4704300862)
Enumeration Date
2013-08-05
Last Update Date
2022-08-12
Business Address
COURTNEY ANNE LANE CNP
145 MICHIGAN ST NE SUITE 4100
GRAND RAPIDS, MI 49503
Phone number: 616-486-5993
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Mailing Address
COURTNEY ANNE LANE CNP
145 MICHIGAN ST NE SUITE 4100
GRAND RAPIDS, MI 49503
Phone number: 616-486-5993
Copy
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