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1568229722
BASIL M. BACCOUCHE
ANN ARBOR, MI
NPI
1568229722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-04
Last Update Date
2024-03-04
Business Address
BASIL M. BACCOUCHE
4190 LAKE FOREST DR W
ANN ARBOR, MI 48108-8923
Phone number: 734-883-7710
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Mailing Address
BASIL M. BACCOUCHE
4190 LAKE FOREST DR W
ANN ARBOR, MI 48108-8923
Phone number: 734-883-7710
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