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1306029913
DONALD A BASEMAN P A
BONITA SPRINGS, FL
NPI
1306029913
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Entity Type
Organization
Authorized Contact
ANGELIQUE HAAS
Billing Manager
239-274-5004
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL OS0007431)
Enumeration Date
2007-12-06
Last Update Date
2007-12-19
Business Address
DONALD A BASEMAN P A
9410 FOUNTAIN MEDICAL CT #A102
BONITA SPRINGS, FL 34135-4525
Phone number: 239-948-9600
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Mailing Address
DONALD A BASEMAN P A
9410 FOUNTAIN MEDICAL CT #A102
BONITA SPRINGS, FL 34135-4525
Phone number: 239-948-9600
Copy
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