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1770628513
BRIAN BAUER
KALAMAZOO, MI
NPI
1770628513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
-- BRIAN BAUER M.Ed., ATC
1903 W MICHIGAN AVE
KALAMAZOO, MI 49008-5200
Phone number: 269-387-8653
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Mailing Address
-- BRIAN BAUER M.Ed., ATC
7224 MARFIELD ST
PORTAGE, MI 49024-4233
Phone number:
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