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1235320045
NAZEM KAISSAR BASSIL
SAINT LOUIS, MO
NPI
1235320045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: MO 2007010286)
Enumeration Date
2007-08-06
Last Update Date
2007-08-06
Business Address
-- NAZEM KAISSAR BASSIL M.D,
1402 S GRAND BLVD # M238
SAINT LOUIS, MO 63104-1004
Phone number: 314-977-8462
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Mailing Address
-- NAZEM KAISSAR BASSIL M.D,
1402 S GRAND BLVD # M238
SAINT LOUIS, MO 63104-1004
Phone number: 314-977-8462
Copy
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