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1629730122
WEN YING FAN
IMLAY CITY, MI
NPI
1629730122
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Professional Name
COURTNEY WEN YING FAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901005375)
Enumeration Date
2021-10-12
Last Update Date
2021-10-12
Business Address
WEN YING FAN OD
1793 S CEDAR ST
IMLAY CITY, MI 48444-1342
Phone number: 810-721-9411
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Mailing Address
WEN YING FAN OD
118 CASS AVE
MOUNT CLEMENS, MI 48043-2204
Phone number: 586-468-7370
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