TIMOTHY AARON STANLEY FRACASSI

SOUTHFIELD, MI
NPI1629474648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI  2601000720)
Enumeration Date2014-11-18
Last Update Date2014-11-18
Business Address
-- TIMOTHY AARON STANLEY FRACASSI LAT
28650 LAHSER RD
SOUTHFIELD, MI 48034-2020
Phone number: 248-789-1068
Mailing Address
-- TIMOTHY AARON STANLEY FRACASSI LAT
16935 W 12 MILE RD
SOUTHFIELD, MI 48076-2101
Phone number: 248-789-1068
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