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1972551935
KELLY J GINGRAS
DEARBORN, MI
NPI
1972551935
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005311)
Enumeration Date
2006-05-04
Last Update Date
2022-10-07
Business Address
KELLY J GINGRAS PA-C
18101 OAKWOOD BLVD
DEARBORN, MI 48124-4089
Phone number: 313-982-5440
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Mailing Address
KELLY J GINGRAS PA-C
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number:
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