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1780388629
ADAM CHRISTOPHER BASICAL
FONTANA, CA
NPI
1780388629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-27
Last Update Date
2023-10-31
Business Address
Dr. ADAM CHRISTOPHER BASICAL MD
17234 VALLEY BOULEVARD
FONTANA, CA 92335-6720
Phone number: 909-427-4128
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Mailing Address
Dr. ADAM CHRISTOPHER BASICAL MD
17234 VALLEY BOULEVARD
FONTANA, CA 92335
Phone number: 909-427-4128
Copy
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