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1003393190
DEVYN PORATH
NOVI, MI
NPI
1003393190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5315094078)
Enumeration Date
2018-07-23
Last Update Date
2018-07-23
Business Address
DEVYN PORATH
39555 W 10 MILE RD STE 302
NOVI, MI 48375-2950
Phone number: 248-426-7200
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Mailing Address
DEVYN PORATH
15739 SCOTT ST
SOUTHGATE, MI 48195-1323
Phone number: 734-308-7224
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