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Individual

MRS. STEPHANIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2627 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-5975
(616) 285-5100
(866) 941-7479
Mailing address
2627 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-5975
(616) 285-5100
(866) 941-7479

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704288750
MI

Other

Enumeration date
03/15/2017
Last updated
03/15/2017
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