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1760970941
CARLY LOUISE STORTS
YPSILANTI, MI
NPI
1760970941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008668)
Enumeration Date
2018-04-24
Last Update Date
2021-11-03
Business Address
CARLY LOUISE STORTS PA-C
5301 MCAULEY DR
YPSILANTI, MI 48197-1051
Phone number: 734-712-3456
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Mailing Address
CARLY LOUISE STORTS PA-C
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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