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Individual

ROSS BASTANI BOUSHEHRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6429 BASTANI PL, INDIANAPOLIS, IN 46237-8614
(317) 490-2000
Mailing address
6429 BASTANI PL, INDIANAPOLIS, IN 46237-8614
(317) 490-2000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3004486A
IN

Other

Enumeration date
01/28/2025
Last updated
01/28/2025
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