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4.3 L GI 200 water pump vibration

Yes... will need to take apart to be sure or to fix in either (or both!!) cases. If engine temp is OK likely the bearing, however, its silly to take it apart and not change the impeller regardless.
 
Replace both, you are going to have your water pump in your hand so this is a good time to replace the impeller and make sure two month down the road you don't have to deal with it again no real savings in replacing just the bearing.
 
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