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1508933425
SOFRONIO A. BASICAL
RIVERSIDE, CA
NPI
1508933425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA G79124)
Enumeration Date
2006-11-29
Last Update Date
2021-11-30
Business Address
SOFRONIO A. BASICAL MD
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
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Mailing Address
SOFRONIO A. BASICAL MD
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
Copy
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