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1265092589
MARI I DEBOLT
SAINT LOUIS, MI
NPI
1265092589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: MI 1934415)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
MARI I DEBOLT
123 N PINE ST
SAINT LOUIS, MI 48880-1428
Phone number: 989-721-0857
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Mailing Address
MARI I DEBOLT
123 N PINE ST
SAINT LOUIS, MI 48880-1428
Phone number: 989-721-0857
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