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1982073706
ANDREW LOOSVELT
MOUNT CLEMENS, MI
NPI
1982073706
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704279581)
Enumeration Date
2015-09-22
Last Update Date
2017-03-14
Business Address
-- ANDREW LOOSVELT
215 NORTH AVE
MOUNT CLEMENS, MI 48043-1716
Phone number: 586-466-9300
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Mailing Address
-- ANDREW LOOSVELT
215 NORTH AVE
MOUNT CLEMENS, MI 48043-1716
Phone number: 586-466-9300
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