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1558326009
LEE A REA
GRAND RAPIDS, MI
NPI
1558326009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: MI 5101006013)
Enumeration Date
2006-04-19
Last Update Date
2010-05-18
Business Address
-- LEE A REA D.O.
4047 SALADIN DR SE
GRAND RAPIDS, MI 49546-6249
Phone number: 616-949-5342
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Mailing Address
-- LEE A REA D.O.
4310 LEONARD ST NW SUITE 103
WALKER, MI 49534-8447
Phone number: 616-453-6329
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