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1063563377
BASIL ANTON
CHESHIRE, CT
NPI
1063563377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT 001366)
Enumeration Date
2007-01-15
Last Update Date
2007-07-08
Business Address
-- BASIL ANTON Ph.D.
908 S MERIDEN RD
CHESHIRE, CT 06410-1863
Phone number: 203-272-0353
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Mailing Address
-- BASIL ANTON Ph.D.
908 S MERIDEN RD
CHESHIRE, CT 06410-1863
Phone number: 203-272-0353
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