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1497139117
LEE YOUNG BASTIAN
CHARLESTON, SC
NPI
1497139117
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Former Name
TRESSA LEE YOUNG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: SC 19552)
Enumeration Date
2015-07-13
Last Update Date
2020-10-29
Business Address
Mrs. LEE YOUNG BASTIAN APRN
615 WESLEY DR SUITE 200
CHARLESTON, SC 29407-7204
Phone number: 843-571-6880
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Mailing Address
Mrs. LEE YOUNG BASTIAN APRN
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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