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1760682843
THOMAS A. BAST
PRESCOTT, AZ
NPI
1760682843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AZ RN069389)
Enumeration Date
2007-07-18
Last Update Date
2011-10-10
Business Address
Mr. THOMAS A. BAST FNP
1003 DIVISION STREET SUITE 2
PRESCOTT, AZ 86301
Phone number: 928-717-0724
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Mailing Address
Mr. THOMAS A. BAST FNP
1003 DIVISION STREET SUITE 2
PRESCOTT, AZ 86301
Phone number: 928-717-0724
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