Provider Information for 1750932125
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RUTH ANN VANDEN BOSCH LPC
Sex: Female
NPI: 1750932125
Last Updated: 2019-09-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1750932125 | ||||||||
| Enumeration Date | 2019-09-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 346 MARINERS COVE, 30 D PO BOX 834 30 D PO BOX 834 DOUGLAS, MI 49406 United States Phone: 616-886-3114 | Fax: | ||||||||
| Primary Practice Address | 346 MARINERS COVE, 30 D 30 D DOUGLAS, MI 49406-4940 United States Phone: 616-886-3114 | Fax: | ||||||||
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