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1093815144
BRENDA JO WHARTON
GRAND RAPIDS, MI
NPI
1093815144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601004126)
Enumeration Date
2006-09-25
Last Update Date
2024-01-30
Business Address
Mrs. BRENDA JO WHARTON PA-C
25 MICHIGAN ST NE SUITE 3300
GRAND RAPIDS, MI 49503-2515
Phone number: 616-459-4171
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Mailing Address
Mrs. BRENDA JO WHARTON PA-C
20952 E 12 MILE RD STE 200
SAINT CLAIR SHORES, MI 48081-3203
Phone number: 586-771-4820
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