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Individual

MS. KATHLEEN ANN BUNDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
1615 S GLYUNA ST, BESSEMER, MI 49911-1814
(906) 667-0391
Mailing address
1615 S GLYUNA ST, BESSEMER, MI 49911-1814
(906) 667-0391

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
157720-030
WI
163WG0000X
General Practice Registered Nurse
4704225373
MI

Other

Enumeration date
08/18/2008
Last updated
08/18/2008
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