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1295720050
PRASERT BASIL VASSANTACHART
ALHAMBRA, CA
NPI
1295720050
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Professional Name
BASIL P VASSANTACHART
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CA G44008)
Enumeration Date
2005-09-16
Last Update Date
2011-05-16
Business Address
Dr. PRASERT BASIL VASSANTACHART MD
841 W VALLEY BLVD SUITE 104
ALHAMBRA, CA 91803-3251
Phone number: 626-282-3113
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Mailing Address
Dr. PRASERT BASIL VASSANTACHART MD
841 W VALLEY BLVD SUITE 104
ALHAMBRA, CA 91803-3251
Phone number: 626-282-3113
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