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1083836084
THOMAS R BASTIEN
GRAND RAPIDS, MI
NPI
1083836084
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: MI 2301006501)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Dr. THOMAS R BASTIEN D.C.
2135 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505-4203
Phone number: 616-363-2822
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Mailing Address
Dr. THOMAS R BASTIEN D.C.
2135 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49505-4203
Phone number: 616-363-2822
Copy
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