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Individual

GINA WATKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-A

Contact information

Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 391-2862
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000324
MI

Other

Enumeration date
02/01/2018
Last updated
02/26/2018
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