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Individual

MRS. CATHLEEN MARGARET MCCARTNEY RANCOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2703 DEAN LAKE AVE NE, GRAND RAPIDS, MI 49505-3958
(616) 365-9160
Mailing address
7381 OLD LANTERN DR SE, CALEDONIA, MI 49316-9004
(616) 554-2088
(616) 554-2377

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
4704176205
MI

Other

Enumeration date
04/07/2008
Last updated
04/07/2008
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