Individual
JUDITH ANN BASTEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
850 WEST HOSPITAL DRIVE, SUITE A, FULTON, MO 65251-5147
(573) 592-0337
(573) 592-0711
Mailing address
4499 COUNTY ROAD 351, FULTON, MO 65251-5147
(573) 642-0337
(573) 592-0711
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01159
MO
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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