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1205001807
JEFFREY E. FANTICH, DC, PLC
WEST BLOOMFIELD, MI
NPI
1205001807
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Entity Type
Organization
Authorized Contact
JEFFREY EDWARD FANTICH
Owner
248-737-8066
Organization Subpart ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: MI 2301006930)
Enumeration Date
2008-04-24
Last Update Date
2012-04-24
Business Address
JEFFREY E. FANTICH, DC, PLC
6022 W MAPLE RD SUITE 405
WEST BLOOMFIELD, MI 48322-4408
Phone number: 248-737-8066
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Mailing Address
JEFFREY E. FANTICH, DC, PLC
6022 W MAPLE RD SUITE 405
WEST BLOOMFIELD, MI 48322-4408
Phone number: 248-737-8066
Copy
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