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1669594586
KIRK PFANNES
RICHMOND, MI
NPI
1669594586
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI 6801087168)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
-- KIRK PFANNES
400 STODDARD RD
RICHMOND, MI 48062-2505
Phone number: 810-392-2167
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Mailing Address
-- KIRK PFANNES
13157 JULIUS AVE
WARREN, MI 48089-3254
Phone number:
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