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1730170887
HABIB MOUSSA BASHOURA
LA VERNE, CA
NPI
1730170887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A52519)
Enumeration Date
2005-10-28
Last Update Date
2016-12-15
Business Address
Mr. HABIB MOUSSA BASHOURA MD
1234 FOOTHILL BLVD #2
LA VERNE, CA 91750-3329
Phone number: 909-596-4879
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Mailing Address
Mr. HABIB MOUSSA BASHOURA MD
1234 FOOTHILL BLVD #2
LA VERNE, CA 91750-3329
Phone number: 909-596-4879
Copy
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