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1497385397
KAYLEE BASTIANELLI
GEORGETOWN, DE
NPI
1497385397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: DE J2-0001266)
Enumeration Date
2020-01-20
Last Update Date
2020-01-20
Business Address
KAYLEE BASTIANELLI
110 W NORTH ST
GEORGETOWN, DE 19947-2137
Phone number: 302-856-4574
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Mailing Address
KAYLEE BASTIANELLI
20171 BOSS CV
GEORGETOWN, DE 19947-3655
Phone number:
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