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1063716272
ADAM T. BAST
MESA, AZ
NPI
1063716272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP1582)
Enumeration Date
2011-01-03
Last Update Date
2011-01-03
Business Address
-- ADAM T. BAST MA, CCC-SLP
1025 N COUNTRY CLUB DR
MESA, AZ 85201-3307
Phone number: 480-472-0502
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Mailing Address
-- ADAM T. BAST MA, CCC-SLP
1025 N COUNTRY CLUB DR
MESA, AZ 85201-3307
Phone number:
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