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Individual

ANJA ELIZABETH WHITEHOUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1753 MISTY RDG SW, BYRON CENTER, MI 49315-8589
(616) 401-2101
Mailing address
1753 MISTY RDG SW, BYRON CENTER, MI 49315-8589
(616) 401-2101

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
11/02/2023
Last updated
11/02/2023
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