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1750084414
DEVON SOUTHERLAND
GRAND RAPIDS, MI
NPI
1750084414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: MI 4704314609)
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
DEVON SOUTHERLAND RN, IBCLC
233 FULTON ST E STE 114
GRAND RAPIDS, MI 49503-3261
Phone number: 616-648-7689
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Mailing Address
DEVON SOUTHERLAND RN, IBCLC
4666 EAGLE DR
CALEDONIA, MI 49316-9335
Phone number: 616-648-7689
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