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Individual
DAVID CHRISTOPHER FAVOT
Active
Individual
DAVID CHRISTOPHER FAVOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704251873
MI
363L00000X
Nurse Practitioner
0000000000
MI
363L00000X
Nurse Practitioner
Primary
4704251873
MI
Other
Enumeration date
03/16/2021
Last updated
02/19/2024
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