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1013223775
BRIAN FANION
PORT HURON, MI
NPI
1013223775
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MI 6802086768)
Enumeration Date
2010-08-19
Last Update Date
2010-08-19
Business Address
-- BRIAN FANION
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-985-8900
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Mailing Address
-- BRIAN FANION
722 JENKINSON ST
PORT HURON, MI 48060-6349
Phone number:
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