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1275114282
JUSTIN BOUMA
FLINT, MI
NPI
1275114282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 5151014814)
Enumeration Date
2021-04-20
Last Update Date
2022-06-13
Business Address
JUSTIN BOUMA DO
401 S BALLENGER HWY
FLINT, MI 48532-3638
Phone number: 810-342-2000
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Mailing Address
JUSTIN BOUMA DO
401 S BALLENGER HWY
FLINT, MI 48532-3638
Phone number: 810-342-2000
Copy
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