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1891869400
KELLY A. BASTONI
SANTA ROSA, CA
NPI
1891869400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A82473)
Enumeration Date
2006-11-17
Last Update Date
2021-12-22
Business Address
KELLY A. BASTONI MD
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403-2149
Phone number: 707-571-4000
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Mailing Address
KELLY A. BASTONI MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3466
Phone number: 510-625-6262
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