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1790317030
DIANA FUENTES
MASON, MI
NPI
1790317030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
DIANA FUENTES
585 JEWETT RD
MASON, MI 48854-8729
Phone number: 517-676-5405
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Mailing Address
DIANA FUENTES
PO BOX 289
MASON, MI 48854-0289
Phone number: 517-676-5405
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