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1275589913
LEON VANDERLAAN
HASTINGS, MI
NPI
1275589913
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601001241)
Enumeration Date
2006-05-25
Last Update Date
2017-05-15
Business Address
-- LEON VANDERLAAN PA-C
1108 W STATE ST
HASTINGS, MI 49058-9711
Phone number: 269-948-3102
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Mailing Address
-- LEON VANDERLAAN PA-C
100 MICHIGAN ST NE MC-845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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