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1699171355
KEATON BUMGARDNER
PORT HURON, MI
NPI
1699171355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: MI 6802088261)
Enumeration Date
2014-11-07
Last Update Date
2014-11-07
Business Address
MRS. KEATON BUMGARDNER
3111 ELECTRIC AVE
PORT HURON, MI 48060-8127
Phone number: 810-985-8900
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Mailing Address
MRS. KEATON BUMGARDNER
3499 METCALF RD
FORT GRATIOT, MI 48059-2567
Phone number: 810-300-9598
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