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1952349862
BRIDGET SAGE KENNY
PORTAGE, MI
NPI
1952349862
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Former Name
BRIDGET ROSE SAGE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MI MK0853653)
Enumeration Date
2006-06-03
Last Update Date
2007-07-08
Business Address
-- BRIDGET SAGE KENNY P.A.-C.
7775 ANGLING RD
PORTAGE, MI 49024-7427
Phone number: 269-321-7546
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Mailing Address
-- BRIDGET SAGE KENNY P.A.-C.
7775 ANGLING RD
PORTAGE, MI 49024-7427
Phone number: 269-321-7546
Copy
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