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1144245804
JOHN KETA
TROY, MI
NPI
1144245804
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002242)
Enumeration Date
2006-07-13
Last Update Date
2020-10-22
Business Address
Mr. JOHN KETA PA-C
44199 DEQUINDRE RD STE 311
TROY, MI 48085
Phone number: 248-964-9490
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Mailing Address
Mr. JOHN KETA PA-C
26901 BEAUMONT BLVD
SOUTHFIELD, MI 48033-3489
Phone number: 947-522-1867
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