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1689108060
MARIA BASEDOW
STATE COLLEGE, PA
NPI
1689108060
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Former Name
MARIA YONAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA OS021464)
Enumeration Date
2017-04-12
Last Update Date
2023-09-12
Business Address
MARIA BASEDOW DO
1850 E PARK AVE STE 302
STATE COLLEGE, PA 16803-6706
Phone number: 814-278-4680
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Mailing Address
MARIA BASEDOW DO
1850 E PARK AVE STE 302
STATE COLLEGE, PA 16803-6706
Phone number: 814-278-4680
Copy
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