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1003830225
SCOTT CHARLES LAWRENCE
GRAND RAPIDS, MI
NPI
1003830225
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI SL004357)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- SCOTT CHARLES LAWRENCE PA-C
245 CHERRY ST SE SUITE 202
GRAND RAPIDS, MI 49503-4607
Phone number: 616-459-3551
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Mailing Address
-- SCOTT CHARLES LAWRENCE PA-C
245 CHERRY ST SE SUITE 202
GRAND RAPIDS, MI 49503-4607
Phone number: 616-459-3551
Copy
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