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1952414450
TINA MARIE BAMBUSCH
PORT HURON, MI
NPI
1952414450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
Mrs. TINA MARIE BAMBUSCH
230 HURON AVE
PORT HURON, MI 48060-3822
Phone number: 810-966-4487
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Mailing Address
Mrs. TINA MARIE BAMBUSCH
230 HURON AVE
PORT HURON, MI 48060-3822
Phone number: 810-966-4487
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