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1518929876
EUGENE JOSEPH BASILIERE
SAN DIEGO, CA
NPI
1518929876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA A42602)
Enumeration Date
2006-04-03
Last Update Date
2013-12-20
Business Address
-- EUGENE JOSEPH BASILIERE M.D
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
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Mailing Address
-- EUGENE JOSEPH BASILIERE M.D
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
Copy
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