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1396749800
LUCETTA LYNNE LYFORD
PORTAGE, MI
NPI
1396749800
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601003467)
Enumeration Date
2005-06-13
Last Update Date
2007-08-07
Business Address
Ms. LUCETTA LYNNE LYFORD PA-C
430 W. CENTRE AVE.
PORTAGE, MI 49024
Phone number: 269-321-6673
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Mailing Address
Ms. LUCETTA LYNNE LYFORD PA-C
430 W. CENTRE AVE.
PORTAGE, MI 49024
Phone number: 269-321-6673
Copy
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