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1518655398
MICHAEL A FUQUA
FORT COLLINS, CO
NPI
1518655398
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-04-28
Last Update Date
2023-04-28
Business Address
MICHAEL A FUQUA
1600 SPECHT POINT RD STE 105
FORT COLLINS, CO 80525-4311
Phone number: 970-494-5891
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Mailing Address
MICHAEL A FUQUA
10100 ELIDA RD
DELPHOS, OH 45833-9056
Phone number: 419-695-8010
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