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1902316490
ALEX DALE BYLSMA
GRAND RAPIDS, MI
NPI
1902316490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704306035)
Enumeration Date
2017-10-10
Last Update Date
2019-02-08
Business Address
Mr. ALEX DALE BYLSMA FNP-C
1787 GRAND RIDGE CT NE STE 101
GRAND RAPIDS, MI 49525-7042
Phone number: 616-252-4540
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Mailing Address
Mr. ALEX DALE BYLSMA FNP-C
5900 BYRON CENTER AVE SW MEDICAL ADMINISTRATION
WYOMING, MI 49519-9606
Phone number: 616-252-3243
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