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1659033637
DOMINIQUE BASKETT
WALNUT CREEK, CA
NPI
1659033637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT300435)
Enumeration Date
2021-10-07
Last Update Date
2021-10-07
Business Address
DOMINIQUE BASKETT PT
120 LA CASA VIA STE 212
WALNUT CREEK, CA 94598-3007
Phone number: 925-939-8710
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Mailing Address
DOMINIQUE BASKETT PT
3817 SHAFTER AVE
OAKLAND, CA 94609-2628
Phone number: 720-272-3068
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