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1871053090
MATTHEW RYAN BAUCOM
CINCINNATI, OH
NPI
1871053090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-22
Last Update Date
2019-03-22
Business Address
MATTHEW RYAN BAUCOM MD
234 GOODMAN STREET
CINCINNATI, OH 45219-0796
Phone number: 513-558-4206
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Mailing Address
MATTHEW RYAN BAUCOM MD
231 ALBERT SABIN WAY ML 0558
CINCINNATI, OH 45267-0558
Phone number: 513-558-4206
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