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1043503519
KATHLEEN SMITH SIMMONS
GRAND RAPIDS, MI
NPI
1043503519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 5101019231)
Enumeration Date
2011-05-17
Last Update Date
2014-09-02
Business Address
-- KATHLEEN SMITH SIMMONS D.O.
100 MICHIGAN ST NE A721
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3139
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Mailing Address
-- KATHLEEN SMITH SIMMONS D.O.
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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