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1326877812
MICKEY BAUM
EL CAJON, CA
NPI
1326877812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WR0400X Registered Nurse, Rehabilitation
(Licence: CA 95290204)
Enumeration Date
2024-07-31
Last Update Date
2024-07-31
Business Address
MICKEY BAUM
460 N MAGNOLIA AVE
EL CAJON, CA 92020-3610
Phone number: 619-933-0192
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Mailing Address
MICKEY BAUM
1238 QUINCY CANYON RD
LAKESIDE, CA 92040-1506
Phone number: 619-933-0192
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