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Individual

MR. MICHAEL CHRISTOPHER BAUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1724 ROXIE AVE, FAYETTEVILLE, NC 28304-1623
(910) 222-6825
Mailing address
6319 RAEFORD RD APT 9, FAYETTEVILLE, NC 28304-2819
(910) 860-7034

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/29/2007
Last updated
07/08/2007
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