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1063582146
MELISSA PAKKALA HUSTAK
GRAND RAPIDS, MI
NPI
1063582146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004312)
Enumeration Date
2006-11-08
Last Update Date
2021-09-13
Business Address
MELISSA PAKKALA HUSTAK PA-C
444 MICHIGAN ST NE # MC288
GRAND RAPIDS, MI 49503-3317
Phone number: 616-267-7469
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Mailing Address
MELISSA PAKKALA HUSTAK PA-C
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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