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1215158225
COLEEN BASTA JOHNSTON
PALM BAY, FL
NPI
1215158225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174M00000X Veterinarian
(Licence: FL VM8412)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
Dr. COLEEN BASTA JOHNSTON D.V.M.
1340 PALM BAY RD
PALM BAY, FL 32905
Phone number: 321-725-9770
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Mailing Address
Dr. COLEEN BASTA JOHNSTON D.V.M.
281 BRANDY CREEK CIRCLE SE
PALM BAY, FL 32909
Phone number: 321-768-6781
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