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1497350516
LUCIUS FAIRBOTHAM
KALAMAZOO, MI
NPI
1497350516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
LUCIUS FAIRBOTHAM Specialist
610 S BURDICK ST
KALAMAZOO, MI 49007-5221
Phone number: 269-381-3700
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Mailing Address
LUCIUS FAIRBOTHAM Specialist
610 S BURDICK ST
KALAMAZOO, MI 49007-5221
Phone number: 269-381-3700
Copy
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