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1154174142
OLIVER BASCOS
CHULA VISTA, CA
NPI
1154174142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
OLIVER BASCOS
1637 3RD AVE
CHULA VISTA, CA 91911
Phone number: 619-662-4100
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Mailing Address
OLIVER BASCOS
1637 3RD AVE
CHULA VISTA, CA 91911-5823
Phone number: 619-662-4100
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