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1740303205
LISA MARIE WARACK
WEST BRANCH, MI
NPI
1740303205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004189)
Enumeration Date
2007-04-09
Last Update Date
2013-02-13
Business Address
-- LISA MARIE WARACK PA-C
2463 S M 30
WEST BRANCH, MI 48661-9312
Phone number: 989-343-3261
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Mailing Address
-- LISA MARIE WARACK PA-C
4790 W M 76
WEST BRANCH, MI 48661-8921
Phone number: 989-345-2791
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