BENITO TAVORA BASCO

COLTON, CA
NPI1356588396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  480774)
Enumeration Date2009-01-13
Last Update Date2009-01-13
Business Address
-- BENITO TAVORA BASCO
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1800
Mailing Address
-- BENITO TAVORA BASCO
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-1800
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