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1861812521
CHRISTOPHER MICHAEL BASCHUK
CENTERVILLE, UT
NPI
1861812521
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
222Z00000X Orthotist
Enumeration Date
2014-04-21
Last Update Date
2022-05-25
Business Address
Mr. CHRISTOPHER MICHAEL BASCHUK MPO, CPO, FAAOP(D)
52 CASA LOMA DR
CENTERVILLE, UT 84014-1252
Phone number: 801-699-5471
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Mailing Address
Mr. CHRISTOPHER MICHAEL BASCHUK MPO, CPO, FAAOP(D)
52 CASA LOMA DR
CENTERVILLE, UT 84014-1252
Phone number: 801-699-5471
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