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1235509845
IMELDA BASAS
WESTFIELD, IN
NPI
1235509845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 036324)
Enumeration Date
2015-09-25
Last Update Date
2015-09-25
Business Address
-- IMELDA BASAS
14902 SHELBORNE RD
WESTFIELD, IN 46074-9668
Phone number: 317-286-2885
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Mailing Address
-- IMELDA BASAS
14902 SHELBORNE RD
WESTFIELD, IN 46074-9668
Phone number: 317-286-2885
Copy
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