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1962878074
SCOTT LEFAIVRE
PONTIAC, MI
NPI
1962878074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
(Licence: MI L116760603072)
Enumeration Date
2015-08-12
Last Update Date
2015-08-12
Business Address
-- SCOTT LEFAIVRE
140 CARRIAGE CIRCLE DR
PONTIAC, MI 48342-3313
Phone number: 248-247-4045
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Mailing Address
-- SCOTT LEFAIVRE
140 CARRIAGE CIRCLE DR
PONTIAC, MI 48342-3313
Phone number: 248-247-4045
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