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Leslie Bastian, AT,C
NPI 1013286152 · on the registry since 2011 · sole proprietor
Practice
- Address
- 366 E 1100 S
Mapleton, UT 84664 - Phone
- (801) 491-2199
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-12-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah