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1265684815
MARY FAVATA
ROCHESTER, MI
NPI
1265684815
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704126972)
Enumeration Date
2008-10-15
Last Update Date
2008-10-15
Business Address
-- MARY FAVATA Nurse Practitioner
1101 W UNIVERSITY DR
ROCHESTER, MI 48307-1863
Phone number: 248-652-5813
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Mailing Address
-- MARY FAVATA Nurse Practitioner
1101 W UNIVERSITY DR
ROCHESTER, MI 48307-1863
Phone number: 248-652-5813
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