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1861428161
KIMBERLEE JEAN PROSE
GRAND RAPIDS, MI
NPI
1861428161
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MI 6301010702)
Enumeration Date
2006-06-25
Last Update Date
2007-07-09
Business Address
-- KIMBERLEE JEAN PROSE Psy.D.
933 3 MILE RD NW
GRAND RAPIDS, MI 49544-1673
Phone number: 616-222-3720
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Mailing Address
-- KIMBERLEE JEAN PROSE Psy.D.
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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