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1922757442
ELANA FACKLER
YPSILANTI, MI
NPI
1922757442
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
ELANA FACKLER
5333 MCAULEY DR RM 2110
YPSILANTI, MI 48197-1097
Phone number: 734-712-3967
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Mailing Address
ELANA FACKLER
3110 ASHTON BROOKE DR APT 6
BEAVERCREEK, OH 45431-8889
Phone number:
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