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1386301620
KELLY BASTIAN
SPOKANE, WA
NPI
1386301620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WA RN60630490)
Enumeration Date
2021-11-22
Last Update Date
2021-11-22
Business Address
KELLY BASTIAN
4815 N ASSEMBLY ST
SPOKANE, WA 99205-6185
Phone number: 509-434-7271
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Mailing Address
KELLY BASTIAN
813 E WESTCREST RD
COLBERT, WA 99005-8725
Phone number: 509-381-9999
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