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1124139936
MARK T BASTAN
WARWICK, RI
NPI
1124139936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: RI PT02008)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Mr. MARK T BASTAN DPT
535 CENTERVILLE RD SUITE 101
WARWICK, RI 02886-4376
Phone number: 401-737-4581
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Mailing Address
Mr. MARK T BASTAN DPT
535 CENTERVILLE RD SUITE 101
WARWICK, RI 02886-4376
Phone number: 401-737-4581
Copy
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