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1467227447
ANTHONY VINCENT FASANO
SOUTHGATE, MI
NPI
1467227447
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
ANTHONY VINCENT FASANO
13101 ALLEN RD
SOUTHGATE, MI 48195-2216
Phone number: 734-785-7700
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Mailing Address
ANTHONY VINCENT FASANO
1685 WINCHESTER AVE
LINCOLN PARK, MI 48146-3844
Phone number: 313-784-4437
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