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1518016930
JOHN RAYMOND KEARNEY
GRAND RAPIDS, MI
NPI
1518016930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601001073)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
-- JOHN RAYMOND KEARNEY PAC
829 FOREST HILL AVE SE
GRAND RAPIDS, MI 49546-2325
Phone number: 616-224-1515
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Mailing Address
-- JOHN RAYMOND KEARNEY PAC
PO BOX 73
LAKEVIEW, MI 48850-0073
Phone number: 989-352-6597
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