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1104471986
LAUREN BOS
HOLLAND, MI
NPI
1104471986
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Former Name
LAUREN MARIE DESHAW
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601009427)
Enumeration Date
2019-08-07
Last Update Date
2019-12-10
Business Address
LAUREN BOS
370 N 120TH AVE STE 20
HOLLAND, MI 49424-2196
Phone number: 616-396-5855
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Mailing Address
LAUREN BOS
75 KNOLLWOOD PKWY
HOLLAND, MI 49423-9284
Phone number:
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