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1659875177
ELISABETH JANE BAUMAN
GRAND RAPIDS, MI
NPI
1659875177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501002151)
Enumeration Date
2018-03-20
Last Update Date
2018-03-20
Business Address
ELISABETH JANE BAUMAN
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-780-2222
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Mailing Address
ELISABETH JANE BAUMAN
235 WEALTHY ST SE
GRAND RAPIDS, MI 49503-5247
Phone number: 616-780-2222
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