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1881844777
KORTNE CUSTER
GRAND RAPIDS, MI
NPI
1881844777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005349)
Enumeration Date
2008-09-26
Last Update Date
2015-01-09
Business Address
-- KORTNE CUSTER P.A. -C
555 MIDTOWNE ST NE
GRAND RAPIDS, MI 49503-5729
Phone number: 616-588-8880
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Mailing Address
-- KORTNE CUSTER P.A. -C
3140 HALL ST SE
GRAND RAPIDS, MI 49506-3171
Phone number: 616-634-9195
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