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1710389853
SHANTEL LYNN BLEEKER
PORTAGE, MI
NPI
1710389853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601007179)
Enumeration Date
2014-09-19
Last Update Date
2019-01-21
Business Address
SHANTEL LYNN BLEEKER PA-C, RD
3304 COOLEY CT
PORTAGE, MI 49024
Phone number: 269-349-2266
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Mailing Address
SHANTEL LYNN BLEEKER PA-C, RD
3304 COOLEY CT
PORTAGE, MI 49024-7430
Phone number: 269-349-2266
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