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1265697395
JUSTIN MATTHEW FAHEY
ANN ARBOR, MI
NPI
1265697395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005211)
Enumeration Date
2008-07-29
Last Update Date
2008-09-24
Business Address
Mr. JUSTIN MATTHEW FAHEY PA-C
24 FRANK LLOYD WRIGHT DR LOBBY A
ANN ARBOR, MI 48105-9755
Phone number: 734-936-5738
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Mailing Address
Mr. JUSTIN MATTHEW FAHEY PA-C
3621 S STATE ST 700 KMS PLACE
ANN ARBOR, MI 48108
Phone number: 734-936-2047
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