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1932632262
IAN R BASTIAN
FORT LIBERTY, NC
NPI
1932632262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NE 33015)
Enumeration Date
2017-04-04
Last Update Date
2024-07-03
Business Address
Dr. IAN R BASTIAN MD
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310-0001
Phone number: 910-907-8460
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Mailing Address
Dr. IAN R BASTIAN MD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1440
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