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1174211395
ALEX CHARLES BASDEO
LONGVIEW, TX
NPI
1174211395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX BP10083692)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
ALEX CHARLES BASDEO DO
700 E MARSHALL AVE
LONGVIEW, TX 75601-5580
Phone number: 903-315-2000
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Mailing Address
ALEX CHARLES BASDEO DO
2812 GREENHAVEN
BROWNSVILLE, TX 78521-2802
Phone number: 956-832-9947
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