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1790963700
BONNIE ELLEN BASOM
ROCHESTER, NY
NPI
1790963700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 8207)
Enumeration Date
2008-02-01
Last Update Date
2008-02-01
Business Address
Ms. BONNIE ELLEN BASOM PT
465 WESTFALL RD
ROCHESTER, NY 14620-4645
Phone number: 585-463-2627
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Mailing Address
Ms. BONNIE ELLEN BASOM PT
465 WESTFALL RD
ROCHESTER, NY 14620-4645
Phone number: 585-463-2627
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