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Individual

LAURIE VANDEZANDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1029 TAMARACK AVE NW, GRAND RAPIDS, MI 49504-4125
(616) 238-3500
Mailing address
1029 TAMARACK AVE NW, GRAND RAPIDS, MI 49504-4125

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704193760
MI

Other

Enumeration date
10/30/2023
Last updated
10/30/2023
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