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1811556202
TRACEY LYNN FALLETICH
WAYNE, MI
NPI
1811556202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6802089266)
Enumeration Date
2019-06-10
Last Update Date
2019-06-10
Business Address
TRACEY LYNN FALLETICH
35425 W MICHIGAN AVE
WAYNE, MI 48184-9800
Phone number: 734-722-5986
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Mailing Address
TRACEY LYNN FALLETICH
36118 CANYON DR
WESTLAND, MI 48186-4162
Phone number: 734-721-6055
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