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Individual

MRS. LOUISE IVEREN ORKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3097 PRAIRIE ST SW, GRANDVILLE, MI 49418-2000
(616) 531-9973
Mailing address
2167 CRANBROOK DR NE, GRAND RAPIDS, MI 49505-5763
(616) 916-2809

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704177567
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4704177567
STATE
MI
Enumeration date
02/10/2020
Last updated
02/10/2020
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