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Individual

ABOUBACAR BABALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2815 NORTHWIND DR, EAST LANSING, MI 48823-5003
(517) 332-0817
Mailing address
2815 NORTHWIND DR, EAST LANSING, MI 48823-5003
(517) 402-7964

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502004720
MI
225200000X
Physical Therapy Assistant
A4221
MD

Other

Enumeration date
09/30/2014
Last updated
05/09/2022
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