SCOTT T FAIRHURST

DYER, IN
NPI1073086252
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71008681A)
Enumeration Date2019-01-10
Last Update Date2023-03-03
Business Address
SCOTT T FAIRHURST
24 JOLIET ST
DYER, IN 46311-1705
Phone number: 219-865-2141
Mailing Address
SCOTT T FAIRHURST
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800
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