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1699336370
KYLE BASICAL
PASADENA, CA
NPI
1699336370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 0000)
Enumeration Date
2019-06-24
Last Update Date
2023-09-26
Business Address
Dr. KYLE BASICAL MD
100 W CALIFORNIA BLVD
PASADENA, CA 91105-3010
Phone number: 626-397-5000
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Mailing Address
Dr. KYLE BASICAL MD
1800 STATE ST APT 61
SOUTH PASADENA, CA 91030-2168
Phone number: 909-815-4798
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