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Individual

KELYNN VANDERBUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
655 E CEDAR AVE, GLADWIN, MI 48624-2215
(989) 313-0938
Mailing address
606 ANCHOR ST, GLADWIN, MI 48624-1302
(989) 313-0938

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2824081
MI

Other

Enumeration date
04/13/2021
Last updated
04/13/2021
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