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1629747316
MICHAELBASTANIDPM, INC
IRVINE, CA
NPI
1629747316
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Entity Type
Organization
Authorized Contact
MICHAEL BASTANI
CEO
917-675-1045
Organization Subpart ?
No
Primary Taxonomy
261QP1100X Clinic/Center, Podiatric
Enumeration Date
2021-09-07
Last Update Date
2021-09-07
Business Address
MICHAELBASTANIDPM, INC
18124 CULVER DR STE C
IRVINE, CA 92612-2729
Phone number: 917-676-1045
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Mailing Address
MICHAELBASTANIDPM, INC
215 STONECLIFFE AISLE
IRVINE, CA 92603-5724
Phone number:
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