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1386699296
KIMBERLY ELIZABETH BASTA
ROCHESTER, NY
NPI
1386699296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 303335-1)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
-- KIMBERLY ELIZABETH BASTA msnanp
3 UPTON PARK
ROCHESTER, NY 14607-1500
Phone number: 585-544-7012
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Mailing Address
-- KIMBERLY ELIZABETH BASTA msnanp
162 SCHOLFIELD RD
ROCHESTER, NY 14617-4213
Phone number: 585-544-7012
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