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1770990335
MATTHEW KANELOS
CLIO, MI
NPI
1770990335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601007022)
Enumeration Date
2014-07-16
Last Update Date
2014-07-16
Business Address
-- MATTHEW KANELOS PA-C
11307 N LINDEN RD B
CLIO, MI 48420
Phone number: 810-564-7995
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Mailing Address
-- MATTHEW KANELOS PA-C
11307 N LINDEN RD B
CLIO, MI 48420
Phone number: 810-564-7995
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