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1720212004
SUE BAST
PHOENIX, AZ
NPI
1720212004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WS0200X Registered Nurse, School
(Licence: AZ RN074556)
Enumeration Date
2009-05-14
Last Update Date
2009-05-14
Business Address
Dr. SUE BAST
15002 N 32ND ST
PHOENIX, AZ 85032-4441
Phone number: 602-449-2035
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Mailing Address
Dr. SUE BAST
15002 N 32ND ST
PHOENIX, AZ 85032-4441
Phone number:
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