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1225607880
GLORIA BASTA
FOREST CITY, IA
NPI
1225607880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IA 107453)
Enumeration Date
2021-06-18
Last Update Date
2021-06-18
Business Address
GLORIA BASTA
606 S 7TH ST
FOREST CITY, IA 50436-2032
Phone number: 641-585-2232
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Mailing Address
GLORIA BASTA
435 S 9TH ST
FOREST CITY, IA 50436-1948
Phone number: 641-420-1280
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