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1053912790
MICHELLE BASTARACHE
LAS VEGAS, NV
NPI
1053912790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV 831764)
Enumeration Date
2020-11-07
Last Update Date
2020-11-07
Business Address
MICHELLE BASTARACHE NP
6460 MEDICAL CENTER ST
LAS VEGAS, NV 89148-2406
Phone number: 702-255-6647
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Mailing Address
MICHELLE BASTARACHE NP
6422 MUSTANG SPRING AVE
LAS VEGAS, NV 89139-7200
Phone number: 702-821-6400
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