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1740688209
MARY WALTER
GRAND RAPIDS, MI
NPI
1740688209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007281)
Enumeration Date
2014-12-16
Last Update Date
2024-08-26
Business Address
MARY WALTER PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number: 616-486-6790
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Mailing Address
MARY WALTER PA-C
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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