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Individual

WILLIAM N TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPN

Contact information

Practice address
1256 WALKER AVE NW, GRAND RAPIDS, MI 49504-4067
(616) 235-2910
Mailing address
118 CARRIAGE LN SW, GRAND RAPIDS, MI 49548-7862
(616) 281-5130

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703082102
MI

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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