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Individual

MARY LOUISE HASENAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 392-5141
Mailing address
602 MICHIGAN AVE, HOLLAND, MI 49423
(616) 392-5141

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704124547
MI

Other

Enumeration date
10/26/2015
Last updated
11/18/2015
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