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1417228305
AMANDA LEE KELLY
ADA, MI
NPI
1417228305
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Former Name
AMANDA LEE VANLIERE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006237)
Enumeration Date
2012-01-24
Last Update Date
2025-01-06
Business Address
AMANDA LEE KELLY PA
7128 FULTON ST E
ADA, MI 49301-8413
Phone number: 616-825-3530
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Mailing Address
AMANDA LEE KELLY PA
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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