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1154915858
JOSIE LAUREN BASS DE LA GUARDIA
ANTIOCH, CA
NPI
1154915858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 95235981)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
JOSIE LAUREN BASS DE LA GUARDIA NP
2213 BUCHANAN RD STE 103
ANTIOCH, CA 94509-4265
Phone number: 925-303-4780
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Mailing Address
JOSIE LAUREN BASS DE LA GUARDIA NP
2000 5TH ST UNIT 449
BERKELEY, CA 94710-1878
Phone number: 404-694-9942
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