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1821098088
BEVAN VERN BASTIAN
NEPHI, UT
NPI
1821098088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: UT 187675-1205)
Enumeration Date
2005-07-28
Last Update Date
2019-04-04
Business Address
BEVAN VERN BASTIAN MD
48 W 1500 N
NEPHI, UT 84648-8900
Phone number: 435-623-3000
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Mailing Address
BEVAN VERN BASTIAN MD
48 W 1500 N
NEPHI, UT 84648-8900
Phone number: 435-623-3000
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