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1083363378
JONATHAN EDWARD BASSIG
SAN DIEGO, CA
NPI
1083363378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-22
Last Update Date
2023-06-16
Business Address
JONATHAN EDWARD BASSIG MD
200 W ARBOR DR # 8770
SAN DIEGO, CA 92103-1911
Phone number: 619-543-5297
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Mailing Address
JONATHAN EDWARD BASSIG MD
11390 FORTINO PT
SAN DIEGO, CA 92131-4228
Phone number: 858-722-3734
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