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1720506959
POLINA KOPTELOVA
GRAND RAPIDS, MI
NPI
1720506959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008380)
Enumeration Date
2017-09-08
Last Update Date
2017-09-08
Business Address
POLINA KOPTELOVA PA-C
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number: 989-854-0233
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Mailing Address
POLINA KOPTELOVA PA-C
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number:
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