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1437365897
JAYASEELI BASTIN
GRAND RAPIDS, MI
NPI
1437365897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 4301083851)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- JAYASEELI BASTIN M.D.
1840 WEALTHY ST SE MC 426
GRAND RAPIDS, MI 49506-2921
Phone number: 616-774-5221
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Mailing Address
-- JAYASEELI BASTIN M.D.
PO BOX 1682
GRAND RAPIDS, MI 49501-1682
Phone number: 616-774-5221
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