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1265701189
JAMIE MARK FETTER
ADRIAN, MI
NPI
1265701189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI L2070504)
Enumeration Date
2011-12-21
Last Update Date
2011-12-21
Business Address
Mr. JAMIE MARK FETTER ATC
110 S MADISON ST
ADRIAN, MI 49221-2518
Phone number: 517-264-3969
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Mailing Address
Mr. JAMIE MARK FETTER ATC
1431 ARGYLE DR
ADRIAN, MI 49221-1821
Phone number: 517-265-3726
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