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1013620707
AMANDA MENDOZA
GRAND RAPIDS, MI
NPI
1013620707
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601011572)
Enumeration Date
2022-12-28
Last Update Date
2024-08-12
Business Address
AMANDA MENDOZA PA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-8640
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Mailing Address
AMANDA MENDOZA PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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