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1124729769
TIMOTHY MATTHEW SPORCIC
OWOSSO, MI
NPI
1124729769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-03-10
Last Update Date
2023-03-10
Business Address
TIMOTHY MATTHEW SPORCIC
1634 LYNN ST
OWOSSO, MI 48867-3342
Phone number: 989-627-7242
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Mailing Address
TIMOTHY MATTHEW SPORCIC
1634 LYNN ST
OWOSSO, MI 48867-3342
Phone number:
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