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1932631322
LISSETTE JIMENEZ
GRAND RAPIDS, MI
NPI
1932631322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301502123)
Enumeration Date
2017-04-03
Last Update Date
2022-04-11
Business Address
LISSETTE JIMENEZ MD
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
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Mailing Address
LISSETTE JIMENEZ MD
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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