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1104936228
TAMMY BOLINGER
GRAND RAPIDS, MI
NPI
1104936228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601002376)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
-- TAMMY BOLINGER MS, PA-C
3019 COIT AVE NE
GRAND RAPIDS, MI 49505-3376
Phone number: 616-365-9575
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Mailing Address
-- TAMMY BOLINGER MS, PA-C
9100 14 MILE RD NE
CEDAR SPRINGS, MI 49319-9319
Phone number: 616-866-5361
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