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1083079024
IRENEUSZ BAK
WARREN, MI
NPI
1083079024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: MI B200343005123)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
IRENEUSZ BAK
27200 BALDWIN AVE
WARREN, MI 48092-2782
Phone number: 586-344-4495
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Mailing Address
IRENEUSZ BAK
27200 BALDWIN AVE
WARREN, MI 48092-2782
Phone number:
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