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1073505525
JACK B BASIL
CINCINNATI, OH
NPI
1073505525
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VX0201X Obstetrics & Gynecology, Gynecologic Oncology
(Licence: OH 35084002)
Enumeration Date
2005-08-19
Last Update Date
2014-09-17
Business Address
-- JACK B BASIL MD
3219 CLIFTON AVE SUITE 100
CINCINNATI, OH 45220-3027
Phone number: 513-862-1888
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Mailing Address
-- JACK B BASIL MD
PO BOX 635063
CINCINNATI, OH 45263-0001
Phone number: 513-891-1006
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