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1386784692
JEFFREY EDWARD FANTICH
WEST BLOOMFIELD, MI
NPI
1386784692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: MI 2301006930)
Enumeration Date
2007-02-07
Last Update Date
2013-02-26
Business Address
Dr. JEFFREY EDWARD FANTICH D.C.
5829 W MAPLE RD SUITE 123
WEST BLOOMFIELD, MI 48322-2294
Phone number: 248-737-8066
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Mailing Address
Dr. JEFFREY EDWARD FANTICH D.C.
5829 W MAPLE RD SUITE 123
WEST BLOOMFIELD, MI 48322-2294
Phone number: 248-737-8066
Copy
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