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1790270106
JEREMIAH E BAST
VICTORIA, TX
NPI
1790270106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP137843)
Enumeration Date
2018-06-27
Last Update Date
2020-08-27
Business Address
JEREMIAH E BAST FNP-C
605 E SAN ANTONIO ST STE 509E
VICTORIA, TX 77901-6079
Phone number: 361-573-6351
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Mailing Address
JEREMIAH E BAST FNP-C
112 BROOKWOOD
VICTORIA, TX 77901-3818
Phone number: 361-218-9585
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