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1891990420
KELLY S TEFT
GRAND RAPIDS, MI
NPI
1891990420
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004983)
Enumeration Date
2007-06-14
Last Update Date
2021-03-03
Business Address
KELLY S TEFT PA-C
100 MICHIGAN ST NE SUITE 8861
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-0800
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Mailing Address
KELLY S TEFT PA-C
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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