LAWRENCE WAYNE BASTBERG

FORT MYERS, FL
NPI1336404946
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2012-07-10
Last Update Date2012-07-10
Business Address
Mr. LAWRENCE WAYNE BASTBERG
2789 ORTIZ AVE
FORT MYERS, FL 33905-7806
Phone number: 239-275-3222
Mailing Address
Mr. LAWRENCE WAYNE BASTBERG
2789 ORTIZ AVE
FORT MYERS, FL 33905-7806
Phone number: 239-275-3222
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