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1598304636
KYLE E GORTAT
WEST BLOOMFIELD, MI
NPI
1598304636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-01-06
Last Update Date
2020-01-06
Business Address
KYLE E GORTAT PA-C
7125 ORCHARD LAKE RD STE 100
WEST BLOOMFIELD, MI 48322-3616
Phone number: 248-865-7444
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Mailing Address
KYLE E GORTAT PA-C
7125 ORCHARD LAKE RD STE 100
WEST BLOOMFIELD, MI 48322-3616
Phone number: 248-865-7444
Copy
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