Individual
DAWN PUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3097 PRAIRIE ST SW, GRANDVILLE, MI 49418-2000
(616) 531-9973
Mailing address
80 ECKLUND ST, SPARTA, MI 49345-1008
(616) 443-0635
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704169958
MI
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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