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1114706686
LAURA W BASTIAN
ROCKY MOUNT, NC
NPI
1114706686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NC 147408)
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
LAURA W BASTIAN
4008 CAPITAL DR
ROCKY MOUNT, NC 27804-3123
Phone number: 252-937-5003
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Mailing Address
LAURA W BASTIAN
1821 ERKIN SMITH RD
NASHVILLE, NC 27856-8805
Phone number: 252-904-1639
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