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Individual

MARCIA LYNN MOREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1215 FULTON ST E, GRAND RAPIDS, MI 49503-3849
(616) 742-0351
Mailing address
1215 FULTON ST E, GRAND RAPIDS, MI 49503-3849

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704258744
MI

Other

Enumeration date
11/16/2018
Last updated
11/16/2018
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