CHARLES W BASCOM

TUCSON, AZ
NPI1487278313
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  241529)
Enumeration Date2020-06-06
Last Update Date2020-06-22
Business Address
CHARLES W BASCOM NP
2120 W INA RD
TUCSON, AZ 85741-2694
Phone number: 520-395-0471
Mailing Address
CHARLES W BASCOM NP
2600 W INA RD APT 197
TUCSON, AZ 85741-2347
Phone number:
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