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1134552029
ELIZABETH ELLEN PAYNE
GRAND RAPIDS, MI
NPI
1134552029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006746)
Enumeration Date
2013-08-14
Last Update Date
2023-06-09
Business Address
ELIZABETH ELLEN PAYNE PA
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546-8816
Phone number: 616-267-8520
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Mailing Address
ELIZABETH ELLEN PAYNE PA
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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