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1659902518
LAWRENCE J BASAJ
CLINTON TOWNSHIP, MI
NPI
1659902518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146L00000X Emergency Medical Technician, Paramedic
(Licence: MI 484564)
Enumeration Date
2020-01-30
Last Update Date
2020-01-30
Business Address
LAWRENCE J BASAJ
38550 MEADOWDALE ST APT 7
CLINTON TOWNSHIP, MI 48036-3533
Phone number: 586-855-3551
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Mailing Address
LAWRENCE J BASAJ
38550 MEADOWDALE ST APT 7
CLINTON TOWNSHIP, MI 48036-3533
Phone number: 586-855-3551
Copy
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