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1598428856
KEVIN PIERCE BAUTEL
CLINTON TOWNSHIP, MI
NPI
1598428856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI 4704277557)
Enumeration Date
2021-10-14
Last Update Date
2023-03-26
Business Address
KEVIN PIERCE BAUTEL PMHNP-BC
42669 GARFIELD RD # 326
CLINTON TOWNSHIP, MI 48038-1653
Phone number: 586-412-5321
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Mailing Address
KEVIN PIERCE BAUTEL PMHNP-BC
37558 KAREN ANN CT
NEW BALTIMORE, MI 48047-6704
Phone number: 586-873-2413
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