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1316229040
STEPHANIE LYNN LEACH
GRAND RAPIDS, MI
NPI
1316229040
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Former Name
STEPHANIE LYNN KRAUSE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006171)
Enumeration Date
2011-09-20
Last Update Date
2024-08-26
Business Address
STEPHANIE LYNN LEACH PA-C
426 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-5609
Phone number: 616-267-8338
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Mailing Address
STEPHANIE LYNN LEACH PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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