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1508190851
ANDREW WALLACE FREEBORN
TRAVERSE CITY, MI
NPI
1508190851
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MI 5601005642)
Enumeration Date
2009-09-18
Last Update Date
2024-02-28
Business Address
ANDREW WALLACE FREEBORN PA
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2345
Phone number: 231-935-7514
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Mailing Address
ANDREW WALLACE FREEBORN PA
1105 SIXTH ST
TRAVERSE CITY, MI 49684-2345
Phone number: 231-935-7514
Copy
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