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1841582327
MARYLYNN JOANNA GAASTRA
GRAND RAPIDS, MI
NPI
1841582327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 5601006007)
Enumeration Date
2011-05-03
Last Update Date
2016-06-06
Business Address
-- MARYLYNN JOANNA GAASTRA PA
4118 KALAMAZOO AVE SE
GRAND RAPIDS, MI 49508-3605
Phone number: 231-780-6080
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Mailing Address
-- MARYLYNN JOANNA GAASTRA PA
2749 COIT AVE NE
GRAND RAPIDS, MI 49505-3505
Phone number: 616-745-0956
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