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1104955053
ALLEN BASSLER
SOCORRO, NM
NPI
1104955053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NM 999)
Enumeration Date
2007-03-05
Last Update Date
2008-07-15
Business Address
-- ALLEN BASSLER MD
1202 HIGHWAY 60 SOCORRO GENERAL HOSPITAL
SOCORRO, NM 87801-3914
Phone number: 505-835-1140
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Mailing Address
-- ALLEN BASSLER MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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