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1972180701
GWEN MICHELLE BAUER
GRAND RAPIDS, MI
NPI
1972180701
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Former Name
GWEN MICHELLE THELEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501010881)
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
GWEN MICHELLE BAUER PT
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
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Mailing Address
GWEN MICHELLE BAUER PT
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525-6406
Phone number: 616-459-7101
Copy
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