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1508801218
WENDY KAYE POURBASTANI
MESA, AZ
NPI
1508801218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: AZ RN068727)
Enumeration Date
2006-06-17
Last Update Date
2013-05-02
Business Address
Mrs. WENDY KAYE POURBASTANI ANP-BC
6950 E WILLIAMS FIELD RD CARL T. HAYDEN VA MEDICAL CENTER, SOUTHEAST CLINIC
MESA, AZ 85212-6033
Phone number: 602-222-6568
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Mailing Address
Mrs. WENDY KAYE POURBASTANI ANP-BC
1120 E HEARNE WAY
GILBERT, AZ 85234-6018
Phone number: 480-497-9882
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