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1932561164
JEAN BASTIA
KENNESAW, GA
NPI
1932561164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: GA RN214888)
Enumeration Date
2016-03-26
Last Update Date
2016-03-26
Business Address
MR. JEAN BASTIA FNP
4387 LAURIAN DR NW
KENNESAW, GA 30144-5147
Phone number: 678-425-4030
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Mailing Address
MR. JEAN BASTIA FNP
PO BOX 1915
KENNESAW, GA 30156-8915
Phone number: 678-425-4030
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