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1992002588
MICKEY BAUCHAN
FLINT, MI
NPI
1992002588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-02-17
Last Update Date
2014-08-27
Business Address
MICKEY BAUCHAN
1192 CATALINA DR
FLINT, MI 48507-3314
Phone number: 810-875-2131
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Mailing Address
MICKEY BAUCHAN
1192 CATALINA DR
FLINT, MI 48507-3314
Phone number: 810-875-2131
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