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1801612874
MAKINNI MARIE KORNAK-KOTARBA
GRAND RAPIDS, MI
NPI
1801612874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-11-25
Last Update Date
2024-11-25
Business Address
MAKINNI MARIE KORNAK-KOTARBA
301 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-3314
Phone number: 616-331-5700
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Mailing Address
MAKINNI MARIE KORNAK-KOTARBA
1 CAMPUS DR
ALLENDALE, MI 49401-9403
Phone number:
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