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1255074357
MICHAEL DAVID FETTERLY
PORT HURON, MI
NPI
1255074357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-04-16
Last Update Date
2022-04-16
Business Address
MICHAEL DAVID FETTERLY
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-985-8900
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Mailing Address
MICHAEL DAVID FETTERLY
3177 ELK ST
PORT HURON, MI 48060-2074
Phone number: 810-300-6153
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