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1720083801
KURT O CROSBY
TRAVERSE CITY, MI
NPI
1720083801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601003212)
Enumeration Date
2005-06-16
Last Update Date
2007-07-08
Business Address
-- KURT O CROSBY PA
1105 6TH ST
TRAVERSE CITY, MI 49684-2349
Phone number: 231-947-0673
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Mailing Address
-- KURT O CROSBY PA
PO BOX 107
TRAVERSE CITY, MI 49685-0107
Phone number: 231-947-0673
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