Individual
MARCY JUNGBLUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
117 W PATERSON ST, KALAMAZOO, MI 49007-2557
(269) 349-4257
Mailing address
117 W PATERSON ST, KALAMAZOO, MI 49007-2557
(269) 349-4257
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902011391
MI
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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