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1235272865
EDWIN FAHEY
CLARKSTON, MI
NPI
1235272865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501000708)
Enumeration Date
2007-02-14
Last Update Date
2010-08-09
Business Address
-- EDWIN FAHEY
6825 DIXIE HWY
CLARKSTON, MI 48346
Phone number: 248-625-6820
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Mailing Address
-- EDWIN FAHEY
6825 DIXIE HWY
CLARKSTON, MI 48346
Phone number: 248-625-6820
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