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1164788774
JESSE BRYAN BASFORD
DOTHAN, AL
NPI
1164788774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AL 36180)
Enumeration Date
2012-04-09
Last Update Date
2019-01-22
Business Address
JESSE BRYAN BASFORD MD
1108 ROSS CLARK CIR EMERGENCY DEPARTMENT
DOTHAN, AL 36301
Phone number: 334-793-8111
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Mailing Address
JESSE BRYAN BASFORD MD
1108 ROSS CLARK CIR EMERGENCY DEPARTMENT
DOTHAN, AL 36301
Phone number: 334-793-8111
Copy
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