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1114542958
AUTUMN N BAHLKE
GRANDVILLE, MI
NPI
1114542958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MI 7501003583)
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
Mrs. AUTUMN N BAHLKE LMT
3010 WILSON AVE SW
GRANDVILLE, MI 49418-1242
Phone number: 616-249-8141
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Mailing Address
Mrs. AUTUMN N BAHLKE LMT
3010 WILSON AVE SW
GRANDVILLE, MI 49418-1242
Phone number: 616-249-8141
Copy
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