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1235135427
TRACY LEE BASSO
DAVIS, CA
NPI
1235135427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E36260)
Enumeration Date
2005-06-22
Last Update Date
2022-05-23
Business Address
Dr. TRACY LEE BASSO DPM
635 ANDERSON RD STE 19
DAVIS, CA 95616-3505
Phone number: 530-758-1810
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Mailing Address
Dr. TRACY LEE BASSO DPM
635 ANDERSON RD STE 19
DAVIS, CA 95616-3505
Phone number: 530-758-1810
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