KELLY JEAN BULK

GRANT, MI
NPI1033144340
Former NameKELLY JEAN WATSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601004124)
Enumeration Date2006-07-12
Last Update Date2021-10-14
Business Address
Mrs. KELLY JEAN BULK PA-C
11 N MAPLE
GRANT, MI 49327
Phone number: 231-834-0444
Mailing Address
Mrs. KELLY JEAN BULK PA-C
11 N MAPLE ST PO BOX 7
GRANT, MI 49327-7900
Phone number: 231-834-0444
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