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1568098986
KLOE SHAYE CARPENTER
GRAND RAPIDS, MI
NPI
1568098986
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601009861)
Enumeration Date
2020-03-17
Last Update Date
2024-12-02
Business Address
KLOE SHAYE CARPENTER PA-C
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546-8816
Phone number: 616-267-7758
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Mailing Address
KLOE SHAYE CARPENTER PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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