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Organization

D PATTERSON HAWKINS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA PATTERSON HAWKINS COTA (OWNER)
(269) 208-9590
Entity
Organization

Contact information

Practice address
960 AGARD AVE, SUITE 116, BENTON HARBOR, MI 49022-4051
(269) 927-3011
Mailing address
960 AGARD AVE, SUITE 116, BENTON HARBOR, MI 49022-4051
(269) 927-3011

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
5202005084
MI

Other

Enumeration date
04/28/2008
Last updated
04/28/2008
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