DWIGHT WILLIAM BASCOM

BAKERSFIELD, CA
NPI1679237879
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95018888)
Enumeration Date2021-10-25
Last Update Date2021-10-25
Business Address
Mr. DWIGHT WILLIAM BASCOM
8602 EXODUS LN
BAKERSFIELD, CA 93312-6181
Phone number: 661-706-5497
Mailing Address
Mr. DWIGHT WILLIAM BASCOM
8602 EXODUS LN
BAKERSFIELD, CA 93312-6181
Phone number: 661-706-5497
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