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1043611817
PAMELA BASTIANO
TAMPA, FL
NPI
1043611817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: FL RN9297409)
Enumeration Date
2014-09-11
Last Update Date
2014-09-11
Business Address
-- PAMELA BASTIANO DNP-PMHNP-BC
10770 N 46TH ST
TAMPA, FL 33617-3442
Phone number: 813-631-2516
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Mailing Address
-- PAMELA BASTIANO DNP-PMHNP-BC
10770 N 46TH ST
TAMPA, FL 33617-3442
Phone number: 813-631-2516
Copy
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