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Individual

CHRISTINE ANN DODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
2627 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-5975
(701) 238-8464
Mailing address
71479 8TH AVE, SOUTH HAVEN, MI 49090-9129
(701) 238-8464

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704316285
MI

Other

Enumeration date
12/09/2016
Last updated
12/09/2016
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