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1811966252
SANDRA L BOOMER
MUSKEGON, MI
NPI
1811966252
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704110400)
Enumeration Date
2006-03-17
Last Update Date
2011-02-07
Business Address
-- SANDRA L BOOMER FNP
3535 PARK ST SUITE 110
MUSKEGON, MI 49444-3736
Phone number: 231-733-3155
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Mailing Address
-- SANDRA L BOOMER FNP
PO BOX 1848
MUSKEGON, MI 49443-1848
Phone number: 231-727-4444
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