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1770018269
KAITLYN HALEY BACKING
LAKE ORION, MI
NPI
1770018269
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Former Name
KAITLYN KIMMEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601008071)
Enumeration Date
2017-04-22
Last Update Date
2023-10-31
Business Address
KAITLYN HALEY BACKING PA
845 S LAPEER RD
LAKE ORION, MI 48362-2925
Phone number: 248-469-0011
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Mailing Address
KAITLYN HALEY BACKING PA
1170 FOX CT
OXFORD, MI 48371-5968
Phone number: 248-881-3483
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