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1578921375
HEATHER BASTJAN
MILWAUKEE, WI
NPI
1578921375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WI 6736-33)
Enumeration Date
2016-02-08
Last Update Date
2016-02-08
Business Address
-- HEATHER BASTJAN FNP
2350 N LAKE DR SUITE 500
MILWAUKEE, WI 53211-4528
Phone number: 414-289-9669
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Mailing Address
-- HEATHER BASTJAN FNP
2350 N LAKE DR SUITE 500
MILWAUKEE, WI 53211-4528
Phone number: 414-289-9669
Copy
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