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1770057507
TYLER JOHN BAUMAN
SAINT PAUL, MN
NPI
1770057507
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-01-15
Last Update Date
2021-02-17
Business Address
TYLER JOHN BAUMAN ATC, LAT
1540 6TH ST E
SAINT PAUL, MN 55106-4850
Phone number: 952-449-1054
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Mailing Address
TYLER JOHN BAUMAN ATC, LAT
1704 CRESTVIEW ST
SHAKOPEE, MN 55379-4320
Phone number: 952-449-1054
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