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1215568548
KELLY MANN
GRAND RAPIDS, MI
NPI
1215568548
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Former Name
KELLY BATES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-01-27
Last Update Date
2023-06-21
Business Address
KELLY MANN P.A.
2155 E PARIS AVE SE STE 210
GRAND RAPIDS, MI 49546-6195
Phone number: 616-655-1570
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Mailing Address
KELLY MANN P.A.
2155 E PARIS AVE SE STE 210
GRAND RAPIDS, MI 49546-6195
Phone number: 616-655-1570
Copy
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