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1275607491
BASIMAH KHULUSI
SAN PEDRO, CA
NPI
1275607491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA A4362)
Enumeration Date
2006-11-20
Last Update Date
2023-03-07
Business Address
-- BASIMAH KHULUSI MD
255 W 5TH ST #321
SAN PEDRO, CA 90731-3388
Phone number: 913-208-6684
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Mailing Address
-- BASIMAH KHULUSI MD
255 W 5TH ST SUITE 321
SAN PEDRO, CA 90731-3388
Phone number: 913-208-6684
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