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1093368656
JOANNE E BASTILLE
PINELLAS PARK, FL
NPI
1093368656
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11003357)
Enumeration Date
2019-07-22
Last Update Date
2021-06-29
Business Address
JOANNE E BASTILLE APRN
6245 66TH ST N
PINELLAS PARK, FL 33781-5025
Phone number: 727-873-3891
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Mailing Address
JOANNE E BASTILLE APRN
6245 66TH ST N
PINELLAS PARK, FL 33781-5025
Phone number: 727-873-3891
Copy
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