BASIL O IKE

ORANGE, CA
NPI1114553146
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: CA  20A19702)
Enumeration Date2020-03-21
Last Update Date2025-10-01
Business Address
BASIL O IKE
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 999-999-9999
Mailing Address
BASIL O IKE
200 S MANCHESTER AVE STE 835
ORANGE, CA 92868-3213
Phone number:
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