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1275635898
SHANNON M JANSMA
GRAND RAPIDS, MI
NPI
1275635898
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MI 5601004657)
Enumeration Date
2006-09-03
Last Update Date
2021-02-18
Business Address
Mrs. SHANNON M JANSMA PA-C
330 BARCLAY AVE NE STE 200
GRAND RAPIDS, MI 49503-2525
Phone number: 616-391-2802
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Mailing Address
Mrs. SHANNON M JANSMA PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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