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1720058449
DAVIS LEE DALTON
WYOMING, MI
NPI
1720058449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VG0400X Obstetrics & Gynecology Gynecology
(Licence: MI 5101008097)
Enumeration Date
2006-01-25
Last Update Date
2014-06-17
Business Address
DR. DAVIS LEE DALTON D.O.
2215 44TH ST SW
WYOMING, MI 49519-6439
Phone number: 616-252-8300
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Mailing Address
DR. DAVIS LEE DALTON D.O.
2122 HEALTH DR SW SUITE 230
WYOMING, MI 49519-9698
Phone number:
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