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1962985457
LISA ANN HANNA
GRAND RAPIDS, MI
NPI
1962985457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601008802)
Enumeration Date
2018-09-11
Last Update Date
2018-09-11
Business Address
LISA ANN HANNA PA-C
300 68TH ST SE
GRAND RAPIDS, MI 49548
Phone number: 616-281-6382
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Mailing Address
LISA ANN HANNA PA-C
300 68TH ST SE
GRAND RAPIDS, MI 49548-6927
Phone number:
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