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1558385401
KRISTINA KATHRYN FREESE
DETROIT, MI
NPI
1558385401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004758)
Enumeration Date
2006-07-26
Last Update Date
2021-04-08
Business Address
Ms. KRISTINA KATHRYN FREESE PA
2799 W GRAND BLVD # K-11
DETROIT, MI 48202-2608
Phone number: 313-433-7893
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Mailing Address
Ms. KRISTINA KATHRYN FREESE PA
1560 E MAPLE RD SUITE 400 - CREDENTIALING
TROY, MI 48083-1138
Phone number: 313-438-7373
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