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1710986245
CLIFFORD ALAN
TRAVERSE CITY, MI
NPI
1710986245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 5101006940)
Enumeration Date
2005-07-18
Last Update Date
2008-02-21
Business Address
-- CLIFFORD ALAN DO
906 BUSINESS PARK DR
TRAVERSE CITY, MI 49686-8683
Phone number: 800-968-6866
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Mailing Address
-- CLIFFORD ALAN DO
PO BOX 3318
GRAND RAPIDS, MI 49501-3318
Phone number: 800-968-6866
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