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1063717353
ELISABETH I BASER
FPO, AP
NPI
1063717353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2011-01-18
Last Update Date
2011-01-18
Business Address
-- ELISABETH I BASER IDC
PSC 466 BOX 3
FPO, AP 96595-0003
Phone number: 858-349-3500
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Mailing Address
-- ELISABETH I BASER IDC
1436 S HWY 116
BELEN, NM 87002-9300
Phone number: 858-349-3500
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