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1356394860
TRACI NGUYEN
GRANDVILLE, MI
NPI
1356394860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002940)
Enumeration Date
2006-05-18
Last Update Date
2009-06-29
Business Address
-- TRACI NGUYEN PA-C
3380 44TH ST SW
GRANDVILLE, MI 49418-2461
Phone number: 616-685-8250
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Mailing Address
-- TRACI NGUYEN PA-C
245 STATE ST SE
GRAND RAPIDS, MI 49503-4328
Phone number: 616-685-1808
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