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1235684838
CASEY KOLP
DETROIT, MI
NPI
1235684838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007864)
Enumeration Date
2016-08-24
Last Update Date
2016-08-24
Business Address
-- CASEY KOLP PA-C
4160 JOHN R ST STE 930
DETROIT, MI 48201-2017
Phone number: 313-966-5007
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Mailing Address
-- CASEY KOLP PA-C
23230 DETOUR ST
SAINT CLAIR SHORES, MI 48082-2028
Phone number: 586-306-1881
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