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Individual

STEVEN BOYD FUGATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HOME MODIFICATIONS

Contact information

Practice address
217 W WILLIAM ST, MICHIGAN CITY, IN 46360-4234
(219) 707-8240
(219) 262-5093
Mailing address
6212 US HIGHWAY 6 STE 225, PORTAGE, IN 46368-5057
(219) 730-7023
(219) 262-5093

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2012050200489
IN

Other

Enumeration date
12/16/2019
Last updated
11/27/2023
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