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1669483533
KAYLEEN BASTIAANSE
TORRINGTON, CT
NPI
1669483533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CT 001974)
Enumeration Date
2006-08-10
Last Update Date
2007-10-04
Business Address
Ms. KAYLEEN BASTIAANSE APRN
538 LITCHFIELD ST SUITE 103
TORRINGTON, CT 06790-6669
Phone number: 860-489-5148
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Mailing Address
Ms. KAYLEEN BASTIAANSE APRN
4 FARM SPRINGS RD PROHEALTH PHYSICIANS
FARMINGTON, CT 06032-2573
Phone number: 860-284-5200
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