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1669950721
EVAN BAUM
GRAND RAPIDS, MI
NPI
1669950721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2018-08-01
Last Update Date
2018-08-01
Business Address
EVAN BAUM
100 CHERRY ST SE
GRAND RAPIDS, MI 49503-4526
Phone number: 616-965-8200
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Mailing Address
EVAN BAUM
970 HARRISON BLVD
LINCOLN PARK, MI 48146-4218
Phone number: 313-330-1327
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