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1952334427
ROBERT FRANCIS LIDESTRI
GRAND RAPIDS, MI
NPI
1952334427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704158200)
Enumeration Date
2006-07-08
Last Update Date
2007-07-08
Business Address
Mr. ROBERT FRANCIS LIDESTRI NP
3019 COIT AVE NE
GRAND RAPIDS, MI 49505-3376
Phone number: 616-365-9575
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Mailing Address
Mr. ROBERT FRANCIS LIDESTRI NP
351 ARTHUR ST
MARNE, MI 49435-8730
Phone number: 616-677-3200
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