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1093110553
JONATHAN PAUL BAUERS
MARQUETTE, MI
NPI
1093110553
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2014-10-27
Last Update Date
2014-10-27
Business Address
JONATHAN PAUL BAUERS ATC
1831 FITCH AVE
MARQUETTE, MI 49855-2112
Phone number: 630-329-0853
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Mailing Address
JONATHAN PAUL BAUERS ATC
1831 FITCH AVE
MARQUETTE, MI 49855-2112
Phone number: 630-329-0853
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