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1447512819
GARY FANNON
FLINT, MI
NPI
1447512819
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2012-06-12
Last Update Date
2012-06-12
Business Address
-- GARY FANNON P.A.
1 HURLEY PLZ
FLINT, MI 48503-5902
Phone number: 810-262-9683
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Mailing Address
-- GARY FANNON P.A.
1 HURLEY PLZ
FLINT, MI 48503-5902
Phone number: 810-262-9683
Copy
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