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1902342561
EDWARD JOHN BAST
KALAMAZOO, MI
NPI
1902342561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MI 6401012517)
Enumeration Date
2017-01-06
Last Update Date
2017-01-06
Business Address
Mr. EDWARD JOHN BAST MA, LPC
1090 N 10TH ST SUITE 110
KALAMAZOO, MI 49009-5733
Phone number: 269-375-4363
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Mailing Address
Mr. EDWARD JOHN BAST MA, LPC
1090 N 10TH ST SUITE 110
KALAMAZOO, MI 49009-5733
Phone number: 269-375-4363
Copy
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