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1932155215
ELIZABETH WAY
GRAND RAPIDS, MI
NPI
1932155215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601004315)
Enumeration Date
2006-05-26
Last Update Date
2009-06-30
Business Address
-- ELIZABETH WAY PA-C
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503-4650
Phone number: 616-616-6855
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Mailing Address
-- ELIZABETH WAY PA-C
245 STATE ST SE
GRAND RAPIDS, MI 49503-4328
Phone number: 616-685-1808
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