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1295452100
BASTION MEDICAL PRACTICE OF CALIFORNIA, P.C.
FARMINGTON, CT
NPI
1295452100
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Doing Business As
BASTION HEALTH
Entity Type
Organization
Authorized Contact
JUSTIN HOUMAN
President
650-600-1599
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2022-10-21
Last Update Date
2022-10-21
Business Address
BASTION MEDICAL PRACTICE OF CALIFORNIA, P.C.
400 FARMINGTON AVE
FARMINGTON, CT 06032-1913
Phone number: 650-610-1617
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Mailing Address
BASTION MEDICAL PRACTICE OF CALIFORNIA, P.C.
400 FARMINGTON AVE
FARMINGTON, CT 06032-1913
Phone number:
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