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1710546213
KELSEY RAY BASTIAN
MEMPHIS, TN
NPI
1710546213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TN 0000067761)
Enumeration Date
2019-06-07
Last Update Date
2023-10-05
Business Address
KELSEY RAY BASTIAN MD
920 MADISON AVE FL 2
MEMPHIS, TN 38103-3438
Phone number: 901-448-2302
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Mailing Address
KELSEY RAY BASTIAN MD
920 MADISON AVENUE SUITE 447
MEMPHIS, TN 38163-3438
Phone number: 901-448-2302
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