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1275258154
STEPHEN FEDOR
HOLLAND, MI
NPI
1275258154
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-10-04
Last Update Date
2022-10-04
Business Address
STEPHEN FEDOR
12265 JAMES ST
HOLLAND, MI 49424-8613
Phone number: 616-393-5698
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Mailing Address
STEPHEN FEDOR
12265 JAMES ST
HOLLAND, MI 49424-8613
Phone number:
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