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1629433172
MALLORY MARTENS
GRAND RAPIDS, MI
NPI
1629433172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601007638)
Enumeration Date
2015-12-29
Last Update Date
2021-09-01
Business Address
MALLORY MARTENS PA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Phone number: 616-391-3431
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Mailing Address
MALLORY MARTENS PA
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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