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1710597448
BRIANNA FAHNESTOCK
STERLING HEIGHTS, MI
NPI
1710597448
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Former Name
BRIANNA MISKOWSKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MI 4901005433)
Enumeration Date
2020-08-06
Last Update Date
2022-11-21
Business Address
BRIANNA FAHNESTOCK OD
36824 VAN DYKE AVE
STERLING HEIGHTS, MI 48312-2770
Phone number: 586-276-9300
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Mailing Address
BRIANNA FAHNESTOCK OD
118 CASS AVE
MOUNT CLEMENS, MI 48043-2204
Phone number: 586-464-1479
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