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1073522884
ONSY SAMY BASTA
GLENDALE, CA
NPI
1073522884
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A48938)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Dr. ONSY SAMY BASTA md
225 W BROADWAY 100
GLENDALE, CA 91204-1331
Phone number: 818-545-7770
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Mailing Address
Dr. ONSY SAMY BASTA md
225 W BROADWAY 100
GLENDALE, CA 91204-1331
Phone number: 818-545-7770
Copy
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