KIMBERLY K PROVOAST

WEST BRANCH, MI
NPI1770899551
Former NameKIMBERLY K ROSEBRUGH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601005840)
Enumeration Date2010-08-31
Last Update Date2012-10-18
Business Address
Mrs. KIMBERLY K PROVOAST PA
337 E HOUGHTON AVE
WEST BRANCH, MI 48661-1127
Phone number: 989-345-5240
Mailing Address
Mrs. KIMBERLY K PROVOAST PA
337 E HOUGHTON AVE
WEST BRANCH, MI 48661-1127
Phone number: 989-345-5240
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