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1952333296
BRADLEY E BASTIAN
MINNEAPOLIS, MN
NPI
1952333296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MN 10829)
Enumeration Date
2006-07-07
Last Update Date
2016-12-27
Business Address
-- BRADLEY E BASTIAN PA-C
4730 CHICAGO AVE
MINNEAPOLIS, MN 55407-3570
Phone number: 612-313-0000
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Mailing Address
-- BRADLEY E BASTIAN PA-C
PO BOX 1309 MSIAL STOP 21110Q
MINNEAPOLIS, MN 55440-1309
Phone number: 612-313-0000
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