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1700569100
DEVIN BASTIAN
MARYVILLE, TN
NPI
1700569100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 14825)
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
DR. DEVIN BASTIAN DPT, PT
398 OLYMPIA DR
MARYVILLE, TN 37804-5701
Phone number: 865-233-1080
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Mailing Address
DR. DEVIN BASTIAN DPT, PT
398 OLYMPIA DR
MARYVILLE, TN 37804-5701
Phone number:
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