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Organization

STAFF CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YVETTE M. GEORGE CRNA (STAFF CRNA)
(773) 640-6853
Entity
Organization

Contact information

Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(606) 964-4200
Mailing address
105F STONEBROOK PL # 417, JACKSON, TN 38305-3636
(773) 640-6853

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
IL

Other

Enumeration date
04/26/2007
Last updated
10/17/2008
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