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1023835212
THEODORE P FIELDS
LANSING, MI
NPI
1023835212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-09-20
Last Update Date
2024-09-20
Business Address
THEODORE P FIELDS BA
812 E JOLLY RD
LANSING, MI 48910-6818
Phone number: 517-346-8318
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Mailing Address
THEODORE P FIELDS BA
812 E JOLLY RD STE 210
LANSING, MI 48910-6821
Phone number: 517-346-8275
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