KARLY BAISDEN

JACKSON, MI
NPI1457772469
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006863)
Enumeration Date2013-12-17
Last Update Date2013-12-17
Business Address
-- KARLY BAISDEN
205 N EAST AVE
JACKSON, MI 49201-1753
Phone number: 517-841-1328
Mailing Address
-- KARLY BAISDEN
PO BOX 67000 DEPARTMENT 272801
DETROIT, MI 48267-2728
Phone number: 517-841-1328
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