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1447888987
MICHAEL FRED BASIN
SYRACUSE, NY
NPI
1447888987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-30
Last Update Date
2020-05-08
Business Address
MICHAEL FRED BASIN
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-5540
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Mailing Address
MICHAEL FRED BASIN
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number:
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