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1316937865
DANIELLE BASTA
LEBANON, NH
NPI
1316937865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VT 1010022540)
Enumeration Date
2005-10-26
Last Update Date
2011-12-07
Business Address
-- DANIELLE BASTA APRN
1 MEDICAL CENTER DR
LEBANON, NH 03756-1000
Phone number: 603-650-8630
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Mailing Address
-- DANIELLE BASTA APRN
1 MEDICAL CENTER DR
LEBANON, NH 03756-1000
Phone number: 603-650-8630
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