Phillip C Fanapour
Osteopathic Medicine at Bethune St, Detroit, MI

License number
Florida 4340
Issued Date
Dec 3, 2014
Effective Date
Aug 3, 2016
Expiration Date
Jun 30, 2016
Category
Health Care
Type
Osteopathic Resident Registration
Address
Address 2
1350 W Bethune St #903, Detroit, MI 48202
1600 SW Archer Rd, Gainesville, FL 32610
Phone
(352) 273-8954
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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