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1104031285
JUDITH MARIE BASTIN
ANTIOCH, CA
NPI
1104031285
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- JUDITH MARIE BASTIN
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
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Mailing Address
-- JUDITH MARIE BASTIN
1915 D ST
ANTIOCH, CA 94509-2571
Phone number: 925-754-3673
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