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1376008250
JOHN RILEY
GRAND RAPIDS, MI
NPI
1376008250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601009005)
Enumeration Date
2019-02-05
Last Update Date
2021-01-10
Business Address
JOHN RILEY PA-C
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 616-455-5000
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Mailing Address
JOHN RILEY PA-C
619 PARKWOOD ST NE
GRAND RAPIDS, MI 49503-3413
Phone number: 248-719-2079
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