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Organization

JUST US DIVINE HEALTH AND WELLNESS

Active
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Organization

JUST US DIVINE HEALTH AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICOLE LOVE PA (OWNER)
(231) 304-0270
Entity
Organization

Contact information

Practice address
3102 GLADE ST, MUSKEGON, MI 49444-2706
(231) 304-0270
(231) 304-0271
Mailing address
3102 GADE STREET, GRAND HAVEN, MI 49444
(231) 304-0270
(231) 304-0271

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
11/11/2024
Last updated
04/22/2026
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