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Individual

MISS KARIN K MBAE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
775 36TH ST SE # -795, GRAND RAPIDS, MI 49548-2319
(616) 248-5183
(616) 243-2302
Mailing address
1228 COBB DR SE, APARTMENT 2 A, GRAND RAPIDS, MI 49508-7199
(616) 248-5183
(616) 243-2302

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
MI

Other

Enumeration date
01/17/2007
Last updated
07/08/2007
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