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1518603042
BRIAN FENNELL
DETROIT, MI
NPI
1518603042
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-05-09
Last Update Date
2022-05-09
Business Address
BRIAN FENNELL
3990 JOHN R ST
DETROIT, MI 48201-2018
Phone number: 313-745-4380
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Mailing Address
BRIAN FENNELL
3990 JOHN R ST, MB 165
DETROIT, MI 48201
Phone number:
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