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1952713133
LAYNE DERKS
GRANDVILLE, MI
NPI
1952713133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601006910)
Enumeration Date
2014-05-22
Last Update Date
2022-09-20
Business Address
LAYNE DERKS PA-C
6105 WILSON AVE SW STE 204
GRANDVILLE, MI 49418-9714
Phone number: 616-486-5421
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Mailing Address
LAYNE DERKS PA-C
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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