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1053985812
BREANNA LACEY FIALEK
ROCKFORD, MI
NPI
1053985812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
BREANNA LACEY FIALEK
570 E DIVISION ST
ROCKFORD, MI 49341-1323
Phone number: 231-670-1836
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Mailing Address
BREANNA LACEY FIALEK
3370 S HILTON PARK RD
FRUITPORT, MI 49415-9764
Phone number: 231-670-1836
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