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1649787128
COREY JOHN KOLL
GRAND RAPIDS, MI
NPI
1649787128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MI 5601008527)
Enumeration Date
2018-01-05
Last Update Date
2018-01-05
Business Address
COREY JOHN KOLL PA-C
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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Mailing Address
COREY JOHN KOLL PA-C
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
Copy
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