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1790058121
DANIELLE MARIE BALDWIN
GRAND RAPIDS, MI
NPI
1790058121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MI 2601000675)
Enumeration Date
2012-02-15
Last Update Date
2012-02-15
Business Address
Mrs. DANIELLE MARIE BALDWIN ATC
3101 LEONARD ST NE
GRAND RAPIDS, MI 49525-5832
Phone number: 616-862-9605
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Mailing Address
Mrs. DANIELLE MARIE BALDWIN ATC
1015 EASTMONT DR SE
GRAND RAPIDS, MI 49546-3735
Phone number: 616-862-9605
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