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1588086458
SAMANTHA SMITH
GRAND RAPIDS, MI
NPI
1588086458
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Former Name
SAMANTHA HASSO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006894)
Enumeration Date
2014-01-13
Last Update Date
2021-06-30
Business Address
SAMANTHA SMITH PA-C
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-685-5231
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Mailing Address
SAMANTHA SMITH PA-C
1900 44TH ST SE
KENTWOOD, MI 49508-5008
Phone number:
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