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1225522477
GILBERTE BASTIEN
CUMMING, GA
NPI
1225522477
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: GA PSY004074)
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
GILBERTE BASTIEN PhD
5975 PARKWAY NORTH BLVD STE D
CUMMING, GA 30040-8255
Phone number: 404-388-3909
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Mailing Address
GILBERTE BASTIEN PhD
4928 LONGVIEW RUN
DECATUR, GA 30035-4096
Phone number:
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