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1184639031
GERARD IRVELT BAZILE
SAN DIEGO, CA
NPI
1184639031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: CA G87229)
Enumeration Date
2006-07-29
Last Update Date
2014-07-11
Business Address
-- GERARD IRVELT BAZILE MD
8525 GIBBS DR SUITE 210
SAN DIEGO, CA 92123-1755
Phone number: 858-505-9436
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Mailing Address
-- GERARD IRVELT BAZILE MD
1750 KETTNER BLVD UNIT 106
SAN DIEGO, CA 92101-2531
Phone number: 858-505-9436
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