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1770595563
MARILYN ESTRADA INTENGAN
GRAND RAPIDS, MI
NPI
1770595563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207ZP0105X Pathology Clinical Pathology/Laboratory Medicine
(Licence: MI 4301084873)
Enumeration Date
2006-08-12
Last Update Date
2007-08-20
Business Address
MARILYN ESTRADA INTENGAN MD
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Phone number: 616-364-6700
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Mailing Address
MARILYN ESTRADA INTENGAN MD
PO BOX 77000 DEPT # 77339
DETROIT, MI 48277-0339
Phone number: 616-364-6700
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