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1619558269
AMANDA BASTIEN
LOS ANGELES, CA
NPI
1619558269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-15
Last Update Date
2021-04-15
Business Address
AMANDA BASTIEN MD
8635 W 3RD ST STE 590W
LOS ANGELES, CA 90048-6163
Phone number: 310-423-1220
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Mailing Address
AMANDA BASTIEN MD
8635 W THIRD ST #590W
LOS ANGELES, CA 90048
Phone number: 310-423-1220
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