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1790561546
DAKOTA K DEGROOT
PORTAGE, MI
NPI
1790561546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601011875)
Enumeration Date
2023-09-07
Last Update Date
2024-02-14
Business Address
DAKOTA K DEGROOT PA-C
3850 GLENKERRY CT
PORTAGE, MI 49024-0700
Phone number: 269-327-7200
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Mailing Address
DAKOTA K DEGROOT PA-C
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number:
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