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1225317506
KRISTY KAY DEITERS
PORTAGE, MI
NPI
1225317506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: MI 1601000590)
Enumeration Date
2011-08-04
Last Update Date
2011-08-04
Business Address
Mrs. KRISTY KAY DEITERS Au.D.
576 ROMENCE RD STE. 121
PORTAGE, MI 49024-3472
Phone number: 269-324-0555
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Mailing Address
Mrs. KRISTY KAY DEITERS Au.D.
576 ROMENCE RD STE. 121
PORTAGE, MI 49024-3472
Phone number: 269-324-0555
Copy
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