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1205682564
ALYSSA BASDAVANOS
TORRANCE, CA
NPI
1205682564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-27
Last Update Date
2024-04-27
Business Address
ALYSSA BASDAVANOS MD
1000 W CARSON ST
TORRANCE, CA 90502-2004
Phone number: 310-222-2345
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Mailing Address
ALYSSA BASDAVANOS MD
7165 HAWAII KAI DR
HONOLULU, HI 96825-3115
Phone number:
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