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1508368390
WILLIAM ROBERT BASTIAN
CHICAGO, IL
NPI
1508368390
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038013097)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
WILLIAM ROBERT BASTIAN
4256 N RAVENSWOOD AVE
CHICAGO, IL 60613-1114
Phone number: 773-327-2225
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Mailing Address
WILLIAM ROBERT BASTIAN
4256 N RAVENSWOOD AVE
CHICAGO, IL 60613-1114
Phone number: 773-327-2225
Copy
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