CHANTEL LAIANN BASTIN

OLYMPIA, WA
NPI1386997864
Former NameCHANTEL LAIANN PENNINGTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: WA  MA60319175)
Enumeration Date2012-10-20
Last Update Date2012-10-20
Business Address
Mrs. CHANTEL LAIANN BASTIN LMP
3545 DELPHI RD SW
OLYMPIA, WA 98512-9345
Phone number: 360-878-0438
Mailing Address
Mrs. CHANTEL LAIANN BASTIN LMP
3545 DELPHI RD SW
OLYMPIA, WA 98512-9345
Phone number: 360-878-0438
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