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NPI Profile for JAMIE L DEKORTE in GRAND RAPIDS, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
163WR0400X |
| NPI Number | 1417201336 |
|
| Status | Active | |
| Credentials | RN, BSN | |
| Entity | Individual | |
| Enumeration date | 10/30/2012 | |
| Last updated | 10/30/2012 - About 14 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JAMIE L DEKORTE
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JAMIE L DEKORTE, RN, BSN