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Individual
PAUL BABANO PRIN
Active
Individual
PAUL BABANO PRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007638
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881643385
—
MI
Enumeration date
04/09/2020
Last updated
04/09/2020
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