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1447429790
RAY BASA
SKOKIE, IL
NPI
1447429790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 238000041)
Enumeration Date
2008-02-20
Last Update Date
2008-02-20
Business Address
-- RAY BASA SA
9600 GROSS POINT RD
SKOKIE, IL 60076-1214
Phone number: 773-404-0160
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Mailing Address
-- RAY BASA SA
9600 GROSS POINT RD
SKOKIE, IL 60076-1214
Phone number: 773-404-0160
Copy
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