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1760975205
SONIA BASTA
SAINT CLAIR SHORES, MI
NPI
1760975205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: MI 7101005029)
Enumeration Date
2018-06-10
Last Update Date
2018-06-10
Business Address
SONIA BASTA
23101 STADIUM DR
SAINT CLAIR SHORES, MI 48080-3208
Phone number: 586-435-1600
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Mailing Address
SONIA BASTA
5128 CRESTMONT DR
TROY, MI 48098-5309
Phone number: 248-703-2236
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