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1477300853
CAMILA BASTAS
MOUNT JULIET, TN
NPI
1477300853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 36188)
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
CAMILA BASTAS
3201 BRISBANE DR
MOUNT JULIET, TN 37122-7516
Phone number: 615-584-6781
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Mailing Address
CAMILA BASTAS
3201 BRISBANE DR
MOUNT JULIET, TN 37122-7516
Phone number: 615-584-6781
Copy
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