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1811404932
JULIE VANDEUSEN
GRAND RAPIDS, MI
NPI
1811404932
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Former Name
JULIE STEWART
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008529)
Enumeration Date
2018-01-10
Last Update Date
2021-04-13
Business Address
JULIE VANDEUSEN PA
200 JEFFERSON STREET
GRAND RAPIDS, MI 49503
Phone number: 616-685-6781
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Mailing Address
JULIE VANDEUSEN PA
PO BOX Q
GRAND RAPIDS, MI 49501-4917
Phone number:
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