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1467798231
ROXANNE KAY CORNELIUS
GRAND RAPIDS, MI
NPI
1467798231
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601003078)
Enumeration Date
2012-12-21
Last Update Date
2012-12-21
Business Address
Mrs. ROXANNE KAY CORNELIUS PA-C
555 MIDTOWNE ST NE SUITE 110
GRAND RAPIDS, MI 49503-5729
Phone number: 616-588-8880
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Mailing Address
Mrs. ROXANNE KAY CORNELIUS PA-C
8849 TAMARISK CIRCLE
RICHLAND, MI 49083
Phone number: 269-501-3143
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