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1922125400
ALONZO FULTON HOVER
DETROIT, MI
NPI
1922125400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Mr. ALONZO FULTON HOVER CAC1
13340 E WARREN AVE
DETROIT, MI 48215-2112
Phone number: 313-822-6940
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Mailing Address
Mr. ALONZO FULTON HOVER CAC1
13340 E WARREN AVE
DETROIT, MI 48215-2112
Phone number: 313-822-6940
Copy
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