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1023574787
KENNETH FULTZ
DETROIT, MI
NPI
1023574787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
KENNETH FULTZ CPRM
15941 FAIRFIELD ST
DETROIT, MI 48238-4123
Phone number: 313-345-4310
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Mailing Address
KENNETH FULTZ CPRM
15941 FAIRFIELD ST
DETROIT, MI 48238-4123
Phone number: 313-345-4310
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