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1790387835
LORA COMMISSARIS
WAYLAND, MI
NPI
1790387835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601010293)
Enumeration Date
2020-11-13
Last Update Date
2022-07-05
Business Address
LORA COMMISSARIS PA
12851 W M 179 HWY
WAYLAND, MI 49348-9318
Phone number: 877-377-7322
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Mailing Address
LORA COMMISSARIS PA
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number:
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