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1689680134
PAUL BENJAMIN BASCOM
GOLD BEACH, OR
NPI
1689680134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RH0002X Internal Medicine, Hospice and Palliative Medicine
(Licence: OR G061983)
Enumeration Date
2006-08-01
Last Update Date
2023-08-09
Business Address
PAUL BENJAMIN BASCOM MD
94220 4TH ST
GOLD BEACH, OR 97444-7756
Phone number: 702-453-3799
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Mailing Address
PAUL BENJAMIN BASCOM MD
2660 CRIMSON CANYON DR STE 130
LAS VEGAS, NV 89128-0846
Phone number: 702-453-3799
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