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1841628633
LISA VANMAELE
FORT GRATIOT, MI
NPI
1841628633
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704155720)
Enumeration Date
2013-10-15
Last Update Date
2021-04-08
Business Address
LISA VANMAELE CPNP
4190 24TH AVE STE 204
FORT GRATIOT, MI 48059-3884
Phone number: 810-216-1000
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Mailing Address
LISA VANMAELE CPNP
4190 24TH AVE STE 204
FORT GRATIOT, MI 48059-3884
Phone number: 810-216-1000
Copy
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