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1861968117
MICHAEL DAVID BAUM
CHARLES TOWN, WV
NPI
1861968117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172A00000X Driver
(Licence: WV F901576)
Enumeration Date
2018-10-14
Last Update Date
2018-10-14
Business Address
Mr. MICHAEL DAVID BAUM
41 NEW THOMAS DR
CHARLES TOWN, WV 25414-4822
Phone number: 304-270-8110
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Mailing Address
Mr. MICHAEL DAVID BAUM
41 NEW THOMAS DR
CHARLES TOWN, WV 25414-4822
Phone number: 304-270-8110
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