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1881961027
ANDRE LANE PRIDE
BATTLE CREEK, MI
NPI
1881961027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006117)
Enumeration Date
2011-11-16
Last Update Date
2012-05-30
Business Address
Mr. ANDRE LANE PRIDE PAC
300 NORTH AVE
BATTLE CREEK, MI 49017-3307
Phone number: 269-966-8000
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Mailing Address
Mr. ANDRE LANE PRIDE PAC
125 S KALAMAZOO MALL STE 204
KALAMAZOO, MI 49007-4869
Phone number: 866-898-7139
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