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1104600881
MAITE BASTYR
INDIANAPOLIS, IN
NPI
1104600881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-08-23
Last Update Date
2023-08-23
Business Address
MAITE BASTYR MD
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202-2872
Phone number: 317-963-4634
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Mailing Address
MAITE BASTYR MD
1040 WISHARD BLVD
INDIANAPOLIS, IN 46202-2872
Phone number: 317-963-4634
Copy
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