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1164148060
MADISON A BASTIAN
OMAHA, NE
NPI
1164148060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 4420)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
MADISON A BASTIAN PT
17809 PIERCE PLZ
OMAHA, NE 68130-1035
Phone number: 402-955-8181
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Mailing Address
MADISON A BASTIAN PT
PO BOX 24607
OMAHA, NE 68124-0607
Phone number: 402-955-5400
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