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Individual

JAMIE LYBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARM.D.

Contact information

Practice address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
Mailing address
647 BAYBERRY POINTE DR NW APT C, GRAND RAPIDS, MI 49534-4629
(616) 365-9575

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302035301
MI

Other

Enumeration date
10/02/2009
Last updated
10/02/2009
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