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1396851473
ALLAN FAUST
PORTAGE, MI
NPI
1396851473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601002043)
Enumeration Date
2006-08-22
Last Update Date
2007-07-08
Business Address
-- ALLAN FAUST PA-C
7901 ANGLING RD
PORTAGE, MI 49024-0714
Phone number: 269-324-8405
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Mailing Address
-- ALLAN FAUST PA-C
3035 S 26TH ST
KALAMAZOO, MI 49048-9610
Phone number: 269-383-4285
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