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1366623324
CHRISTOPHER J BASTEN
BLOOMINGTON, MN
NPI
1366623324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TF0000X Psychologist, Family
(Licence: MN LAMFT 1583)
Enumeration Date
2007-11-19
Last Update Date
2007-11-19
Business Address
-- CHRISTOPHER J BASTEN LAMFT
1206 W 96TH ST
BLOOMINGTON, MN 55431-2606
Phone number: 952-884-4882
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Mailing Address
-- CHRISTOPHER J BASTEN LAMFT
1206 W 96TH ST
BLOOMINGTON, MN 55431-2606
Phone number: 952-884-4882
Copy
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