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Individual

KATHERINE ELLEN FAUNCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
167 WILDERNESS LAKE CT, MILFORD, MI 48380-1346
(810) 986-0421
Mailing address
167 WILDERNESS LAKE CT, MILFORD, MI 48380-1346

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/13/2023
Last updated
06/13/2023
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