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1356582381
BASSAN JORGE ALLAN
FORT MYERS, FL
NPI
1356582381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086X0206X Surgery, Surgical Oncology
(Licence: FL ME111167)
Enumeration Date
2009-03-21
Last Update Date
2018-05-23
Business Address
Mr. BASSAN JORGE ALLAN
4571 COLONIAL BLVD STE 100
FORT MYERS, FL 33966
Phone number: 239-333-0995
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Mailing Address
Mr. BASSAN JORGE ALLAN
1 NASSAU ST APT 612
BOSTON, MA 02111-1553
Phone number: 954-240-3174
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