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1144349044
KEVIN FRASIER
DETROIT, MI
NPI
1144349044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704153329)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
KEVIN FRASIER CNP
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 313-966-3300
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Mailing Address
KEVIN FRASIER CNP
14230 W MCNICHOLS RD
DETROIT, MI 48235-3912
Phone number: 313-966-4880
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