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1326781220
WYATT BOOTHBY-SHOEMAKER
YPSILANTI, MI
NPI
1326781220
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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
2022-04-18
Last Update Date
2022-04-18
Business Address
WYATT BOOTHBY-SHOEMAKER
5333 MCAULEY DR RM 2115
YPSILANTI, MI 48197-1097
Phone number: 734-712-3971
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Mailing Address
WYATT BOOTHBY-SHOEMAKER
36701 COUNTY ROAD 374
PAW PAW, MI 49079-8320
Phone number: 269-808-1265
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