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1053338830
KENNETH ADAMS CROCKETT
PETOSKEY, MI
NPI
1053338830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601001028)
Enumeration Date
2006-07-16
Last Update Date
2008-04-18
Business Address
Mr. KENNETH ADAMS CROCKETT PA-C
1890 S US HIGHWAY 131 SUITE 4
PETOSKEY, MI 49770-8344
Phone number: 231-487-2000
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Mailing Address
Mr. KENNETH ADAMS CROCKETT PA-C
1890 S US HIGHWAY 131 SUITE 4
PETOSKEY, MI 49770-8344
Phone number: 231-487-2000
Copy
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