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1487126306
CAITLYN JEANETTE BASTABLE
FORT WORTH, TX
NPI
1487126306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: TX AP139872)
Enumeration Date
2018-12-18
Last Update Date
2024-10-01
Business Address
CAITLYN JEANETTE BASTABLE NP
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-3953
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Mailing Address
CAITLYN JEANETTE BASTABLE NP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1860
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