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1740364124
LARA M DAVIS
GRAND BLANC, MI
NPI
1740364124
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Former Name
LARA M GALE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005217)
Enumeration Date
2006-10-24
Last Update Date
2021-04-12
Business Address
LARA M DAVIS P.A.
3452 GENESYS PKWY
GRAND BLANC, MI 48439-7334
Phone number: 810-606-7550
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Mailing Address
LARA M DAVIS P.A.
3452 GENESYS PKWY
GRAND BLANC, MI 48439-7334
Phone number: 810-606-7550
Copy
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