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1225560311
HENNING MARTIN BAUER
MILL VALLEY, CA
NPI
1225560311
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 12420)
Enumeration Date
2017-03-29
Last Update Date
2017-03-29
Business Address
Mr. HENNING MARTIN BAUER
11 HOLLYHOCK CT
MILL VALLEY, CA 94941-1416
Phone number: 415-845-1993
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Mailing Address
Mr. HENNING MARTIN BAUER
11 HOLLYHOCK CT
MILL VALLEY, CA 94941-1416
Phone number: 415-845-1993
Copy
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