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1104255496
LAUREN GOEDTEL
ROYAL OAK, MI
NPI
1104255496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006722)
Enumeration Date
2013-11-06
Last Update Date
2013-11-06
Business Address
-- LAUREN GOEDTEL PAC
3577 W 13 MILE RD STE 103
ROYAL OAK, MI 48073-6710
Phone number: 248-288-4500
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Mailing Address
-- LAUREN GOEDTEL PAC
301 MARLIN AVE
ROYAL OAK, MI 48067-1323
Phone number: 248-288-4500
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