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1386935955
KATHY LYNN BASHAWATY
WEST BLOOMFIELD, MI
NPI
1386935955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704190275)
Enumeration Date
2011-04-29
Last Update Date
2021-02-19
Business Address
Mrs. KATHY LYNN BASHAWATY MSN, FNP-BC
6777 W MAPLE RD
WEST BLOOMFIELD, MI 48322-3013
Phone number: 248-325-1000
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Mailing Address
Mrs. KATHY LYNN BASHAWATY MSN, FNP-BC
1407 VINSETTA BLVD
ROYAL OAK, MI 48067-1028
Phone number: 248-439-0209
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