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1447283957
CAROL MAE M BOSANKO
GRAND RAPIDS, MI
NPI
1447283957
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI 4301405974)
Enumeration Date
2006-07-08
Last Update Date
2010-09-28
Business Address
Dr. CAROL MAE M BOSANKO MD
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone number: 616-363-7272
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Mailing Address
Dr. CAROL MAE M BOSANKO MD
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone number: 616-363-7272
Copy
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