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1124112982
THERESE A BIRKAM-JADE
PORTAGE, MI
NPI
1124112982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004670)
Enumeration Date
2006-10-03
Last Update Date
2012-11-14
Business Address
-- THERESE A BIRKAM-JADE PA-C
6100 NEWPORT RD SUITE 100
PORTAGE, MI 49002-9235
Phone number: 269-343-4679
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Mailing Address
-- THERESE A BIRKAM-JADE PA-C
6100 NEWPORT RD SUITE 100
PORTAGE, MI 49002-9235
Phone number: 269-343-4679
Copy
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