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1649657131
ERIC BAUER
PHOENIX, AZ
NPI
1649657131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AZ 1101)
Enumeration Date
2015-05-04
Last Update Date
2015-05-04
Business Address
-- ERIC BAUER ATC
3220 E BASELINE RD 112
PHOENIX, AZ 85042-7115
Phone number: 602-437-2225
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Mailing Address
-- ERIC BAUER ATC
3220 E BASELINE RD 112
PHOENIX, AZ 85042-7115
Phone number: 602-437-2225
Copy
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