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Organization
PARENT TO PARENT OF SW MI
Active
Organization
PARENT TO PARENT OF SW MI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDIDA BUSH (EXECUTIVE DIRECTOR)
(269) 345-8950
Entity
Organization
Contact information
Practice address
406 E MICHIGAN AVE, KALAMAZOO, MI 49007-3888
(269) 345-8950
Mailing address
406 E MICHIGAN AVE, KALAMAZOO, MI 49007-3888
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
MI
Other
Enumeration date
04/20/2012
Last updated
04/20/2012
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