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1346091360
BOTAGOZ BASU
DALLAS, TX
NPI
1346091360
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Other Name
BOTAGOZ BASU
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX 1096925)
Enumeration Date
2024-03-28
Last Update Date
2024-06-08
Business Address
Mrs. BOTAGOZ BASU APRN
505 W COLORADO BLVD
DALLAS, TX 75208-2410
Phone number: 917-607-6655
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Mailing Address
Mrs. BOTAGOZ BASU APRN
505 W COLORADO BLVD
DALLAS, TX 75208-2410
Phone number: 917-607-6655
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