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1902037583
MICHAEL BUCHSBAUM
GILBERT, AZ
NPI
1902037583
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: AZ 4199490)
Enumeration Date
2009-07-30
Last Update Date
2009-07-30
Business Address
Mr. MICHAEL BUCHSBAUM
65 E OLIVE AVE APARTMENT 213
GILBERT, AZ 85234-4553
Phone number: 928-853-6429
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Mailing Address
Mr. MICHAEL BUCHSBAUM
65 E OLIVE AVE APARTMENT 213
GILBERT, AZ 85234-4553
Phone number: 928-853-6429
Copy
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