Audrey Jagt
Audrey Jagt is an Other Specialist/Technologist in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
1490 E Beltline Ave SEGrand Rapids, MI 49506-4336
Phone: (616) 940-0040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Specialist/Technologist (primary) | Taxonomy 246Z00000X |
|---|
Record details
| NPI number | 1154679348 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 21, 2012 |
| Last updated in NPPES | August 21, 2012 |
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