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1730332412
ERIC J BASTIAN
SPRING LAKE, MI
NPI
1730332412
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501014111)
Enumeration Date
2008-10-28
Last Update Date
2020-07-13
Business Address
ERIC J BASTIAN DPT
18000 COVE ST STE 202
SPRING LAKE, MI 49456-1383
Phone number: 616-847-1280
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Mailing Address
ERIC J BASTIAN DPT
18000 COVE ST STE 202
SPRING LAKE, MI 49456-1383
Phone number: 616-847-1280
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