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1164472619
KIMBERLY K DECKER
GRAND RAPIDS, MI
NPI
1164472619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004650)
Enumeration Date
2006-05-12
Last Update Date
2017-05-19
Business Address
-- KIMBERLY K DECKER PA
3355 EAGLE PARK DR NE SUITE 103
GRAND RAPIDS, MI 49525-7004
Phone number: 616-942-7400
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Mailing Address
-- KIMBERLY K DECKER PA
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone number: 616-363-7339
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