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1356696280
JONATHAN P CORLEY
GRAND RAPIDS, MI
NPI
1356696280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2012-07-17
Last Update Date
2012-07-24
Business Address
-- JONATHAN P CORLEY PA-C
4100 EMBASSY DR SE SUITE 200
GRAND RAPIDS, MI 49546-2416
Phone number: 616-975-1845
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Mailing Address
-- JONATHAN P CORLEY PA-C
224 PECAN PARK AVE
ALEXANDRIA, LA 71303-3308
Phone number: 318-427-7900
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