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1306689302
AMANDA GRACE BASTIAN
MYRTLE BEACH, SC
NPI
1306689302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WH0200X Registered Nurse, Home Health
(Licence: SC 247269)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
AMANDA GRACE BASTIAN RN
5102 OAT FIELDS DR
MYRTLE BEACH, SC 29588-3717
Phone number: 843-602-0758
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Mailing Address
AMANDA GRACE BASTIAN RN
300 SANDY PEBBLE WAY APT 302
MYRTLE BEACH, SC 29579-2843
Phone number: 843-424-2894
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