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1982976304
ELLISON J TIMMER
HOLLAND, MI
NPI
1982976304
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Former Name
ELLISON J KLAASEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MI 4704260596)
Enumeration Date
2012-02-01
Last Update Date
2020-03-13
Business Address
ELLISON J TIMMER N.P.
12460 RILEY ST
HOLLAND, MI 49424-8217
Phone number: 616-399-6500
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Mailing Address
ELLISON J TIMMER N.P.
5800 FOREMOST DR SE STE 300
GRAND RAPIDS, MI 49546-7062
Phone number: 616-954-9800
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