Individual
JILL LAURA KUEBLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
11 N MAPLE ST, GRANT, MI 49327-7900
(231) 834-9732
(231) 834-0962
Mailing address
3415 W 104TH ST, GRANT, MI 49327-8643
(231) 519-1189
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
96271955
MI
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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