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1891058624
RANDALL MARK LEJA
GRAND RAPIDS, MI
NPI
1891058624
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 5101019817)
Enumeration Date
2012-06-18
Last Update Date
2012-06-18
Business Address
DR. RANDALL MARK LEJA D.O.
100 MICHIGAN ST NE # 13
GRAND RAPIDS, MI 49503-2560
Phone number: 616-267-0073
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Mailing Address
DR. RANDALL MARK LEJA D.O.
538 BOND AVE NW APT 402
GRAND RAPIDS, MI 49503-6705
Phone number: 517-740-7279
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