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1164805990
LEANNA BAST
NEW YORK, NY
NPI
1164805990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F307361-1)
Enumeration Date
2015-06-29
Last Update Date
2015-10-30
Business Address
-- LEANNA BAST
530 1ST AVE SKIRBALL 9V
NEW YORK, NY 10016-6402
Phone number: 212-263-2329
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Mailing Address
-- LEANNA BAST
530 1ST AVE SKIRBALL 9V
NEW YORK, NY 10016-6402
Phone number:
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