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1154654010
AMY ELIZABETH KLOK
PORTAGE, MI
NPI
1154654010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005579)
Enumeration Date
2009-09-10
Last Update Date
2023-11-27
Business Address
AMY ELIZABETH KLOK PA-C
3300 W CENTRE AVE
PORTAGE, MI 49024-4666
Phone number: 269-324-8950
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Mailing Address
AMY ELIZABETH KLOK PA-C
3300 W CENTRE AVE
PORTAGE, MI 49024-4666
Phone number: 269-324-8950
Copy
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