GILLIAN BASEDOW

VESTAL, NY
NPI1508324955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  004370)
Enumeration Date2019-03-05
Last Update Date2024-01-10
Business Address
GILLIAN BASEDOW ATC
4433 VESTAL PKWY E FL 2
VESTAL, NY 13850-3556
Phone number: 973-803-0471
Mailing Address
GILLIAN BASEDOW ATC
4433 VESTAL PKWY E FL 2
VESTAL, NY 13850-3556
Phone number: 973-803-0471
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