Individual
MS. JULIE LYNN VANDUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA.
Contact information
Practice address
5512 CLUBHOUSE TRAIL, GAYLORD, MI 49735
(989) 732-6761
(989) 732-6763
Mailing address
5512 CLUBHOUSE TRAIL, GAYLORD, MI 49735
(989) 732-6761
(989) 732-6763
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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