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1114644267
STEFANIE BASSO
SAN DIEGO, CA
NPI
1114644267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133NN1002X Nutritionist, Nutrition, Education
(Licence: CA 2717254)
Enumeration Date
2022-10-19
Last Update Date
2022-10-19
Business Address
STEFANIE BASSO CPT CNS, MS
6612 MISSION GORGE RD STE B
SAN DIEGO, CA 92120-2346
Phone number: 808-226-2113
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Mailing Address
STEFANIE BASSO CPT CNS, MS
4225 PORTE DE MERANO UNIT 92
SAN DIEGO, CA 92122-1935
Phone number: 808-226-2113
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