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1891901278
LAURA JEAN BALAVITCH-GOMEZ
CLINTON TWP, MI
NPI
1891901278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI 5601001632)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- LAURA JEAN BALAVITCH-GOMEZ PA
36549 HARPER AVE SUITE B
CLINTON TWP, MI 48035-2012
Phone number: 586-791-3150
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Mailing Address
-- LAURA JEAN BALAVITCH-GOMEZ PA
36549 HARPER AVE SUITE B
CLINTON TWP, MI 48035-2012
Phone number: 586-791-3150
Copy
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