GRANT BAUSTE

EAU CLAIRE, WI
NPI1619109808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WI  2822-57)
Additional Taxonomies103T00000X Psychologist
Enumeration Date2009-08-20
Last Update Date2013-03-19
Business Address
-- GRANT BAUSTE Psy D
733 W CLAIREMONT AVE
EAU CLAIRE, WI 54701-6101
Phone number: 715-838-5222
Mailing Address
-- GRANT BAUSTE Psy D
1400 BELLINGER ST
EAU CLAIRE, WI 54703-5222
Phone number: 715-838-5222
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