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1619997996
THIRD AVENUE FAMILY CLINIC, PC
FRUITPORT, MI
NPI
1619997996
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Entity Type
Organization
Authorized Contact
JOYCE STAPEL
Office Manager
231-865-3918
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-07-20
Last Update Date
2011-05-24
Business Address
THIRD AVENUE FAMILY CLINIC, PC
14 N. THIRD AVE
FRUITPORT, MI 49415
Phone number: 231-865-3918
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Mailing Address
THIRD AVENUE FAMILY CLINIC, PC
14 N 3RD AVE
FRUITPORT, MI 49415-8920
Phone number: 231-865-3918
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