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1174810451
JENNIFER MICHELE CHARCHAN
GRAND RAPIDS, MI
NPI
1174810451
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Former Name
JENNIFER MICHELE KOLENKO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005986)
Enumeration Date
2011-07-07
Last Update Date
2021-02-22
Business Address
JENNIFER MICHELE CHARCHAN PA
145 MICHIGAN ST NE SUITE 4400
GRAND RAPIDS, MI 49503-2562
Phone number: 616-486-6218
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Mailing Address
JENNIFER MICHELE CHARCHAN PA
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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