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1114297876
MELISSA MICHELLE BASTIANELLI
TULSA, OK
NPI
1114297876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK 85825)
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
-- MELISSA MICHELLE BASTIANELLI CRNA
6839 S CANTON AVE
TULSA, OK 74136-3402
Phone number: 918-494-0612
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Mailing Address
-- MELISSA MICHELLE BASTIANELLI CRNA
6839 S CANTON AVE
TULSA, OK 74136-3402
Phone number: 918-494-0612
Copy
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