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1932479920
SHERENDA NICOLE FAUSNAUGH
HESPERIA, MI
NPI
1932479920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2012-01-06
Last Update Date
2013-03-28
Business Address
Ms. SHERENDA NICOLE FAUSNAUGH IDMT
5195 S 148TH AVE
HESPERIA, MI 49421-9546
Phone number: 313-258-3114
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Mailing Address
Ms. SHERENDA NICOLE FAUSNAUGH IDMT
PSC 80 BOX 22495
APO, AP 96367-0109
Phone number:
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