KATIE BASTIAN

WEST JORDAN, UT
NPI1073116646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: UT  7236722-4901)
Enumeration Date2020-11-17
Last Update Date2020-11-17
Business Address
KATIE BASTIAN MDA, RDN, SNS
7905 S REDWOOD RD
WEST JORDAN, UT 84088-4601
Phone number: 801-567-8602
Mailing Address
KATIE BASTIAN MDA, RDN, SNS
13833 S OXFORDSHIRE DR
BLUFFDALE, UT 84065-6056
Phone number: 801-450-9901
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