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1386747160
OUEDRAEGO BASGA BERNARD
BELLEVILLE, IL
NPI
1386747160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036061428)
Enumeration Date
2006-09-06
Last Update Date
2012-01-31
Business Address
Dr. OUEDRAEGO BASGA BERNARD MD
7210 W MAIN ST
BELLEVILLE, IL 62223-3038
Phone number: 618-398-8840
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Mailing Address
Dr. OUEDRAEGO BASGA BERNARD MD
7210 W MAIN ST
BELLEVILLE, IL 62223-3038
Phone number: 618-398-8840
Copy
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