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1821039066
LAURA VANDERMOLEN
GRAND RAPIDS, MI
NPI
1821039066
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 5101012688)
Enumeration Date
2006-06-09
Last Update Date
2015-10-13
Business Address
-- LAURA VANDERMOLEN DO
100 MICHIGAN ST NE A721
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
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Mailing Address
-- LAURA VANDERMOLEN DO
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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