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Individual

JOEL ROUDABUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2130 WEALTHY ST SE, GRAND RAPIDS, MI 49506-3057
(616) 451-0711
(616) 454-4213
Mailing address
2130 WEALTHY ST SE, GRAND RAPIDS, MI 49506-3057
(616) 451-0711

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302021307
MI

Other

Enumeration date
04/11/2011
Last updated
04/11/2011
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