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1912095712
GWEN LEE RUBACH
IONIA, MI
NPI
1912095712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: MI 4704109915)
Enumeration Date
2006-10-10
Last Update Date
2014-07-17
Business Address
Mrs. GWEN LEE RUBACH Nurse Practitioner
175 E ADAMS ST
IONIA, MI 48846-1672
Phone number: 616-527-3340
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Mailing Address
Mrs. GWEN LEE RUBACH Nurse Practitioner
425 CHERRY ST SE
GRAND RAPIDS, MI 49503-4601
Phone number: 616-774-7005
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