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1114997228
CAROLE VANDYKE
DETROIT, MI
NPI
1114997228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002838)
Enumeration Date
2006-01-23
Last Update Date
2009-01-08
Business Address
-- CAROLE VANDYKE P.A.
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-7351
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Mailing Address
-- CAROLE VANDYKE P.A.
261 MACK AVE
DETROIT, MI 48201-2417
Phone number: 313-745-7351
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