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1912243056
KIMBERLY SUE AGIM
GRAND RAPIDS, MI
NPI
1912243056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MI 4704249140)
Enumeration Date
2012-12-18
Last Update Date
2012-12-18
Business Address
-- KIMBERLY SUE AGIM NP
3230 EAGLE PARK DR NE SUITE 101
GRAND RAPIDS, MI 49525-7007
Phone number: 616-954-0600
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Mailing Address
-- KIMBERLY SUE AGIM NP
2218 GODWIN AVE SE
GRAND RAPIDS, MI 49507-3130
Phone number:
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