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1164965968
JUAN ALBERTO BASTIDA
AUSTIN, TX
NPI
1164965968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: TX 332407)
Enumeration Date
2016-11-28
Last Update Date
2016-11-28
Business Address
JUAN ALBERTO BASTIDA LVN
1434 SIR THOPAS TRL
AUSTIN, TX 78748-3741
Phone number: 512-424-9282
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Mailing Address
JUAN ALBERTO BASTIDA LVN
1434 SIR THOPAS TRL
AUSTIN, TX 78748-3741
Phone number: 512-424-9282
Copy
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