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1174617815
CHRISTINE SUZANNE MARTIN
GRAND RAPIDS, MI
NPI
1174617815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601004837)
Enumeration Date
2006-10-03
Last Update Date
2021-02-26
Business Address
Miss CHRISTINE SUZANNE MARTIN PAC
100 MICHIGAN ST NE SUITE A721
GRAND RAPIDS, MI 49503-2560
Phone number: 616-974-4493
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Mailing Address
Miss CHRISTINE SUZANNE MARTIN PAC
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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