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1790545986
BASSAM THEODORY
FONTANA, CA
NPI
1790545986
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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
2024-03-22
Last Update Date
2024-03-22
Business Address
BASSAM THEODORY MD
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Phone number: 626-400-7101
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Mailing Address
BASSAM THEODORY MD
17234 VALLEY BLVD, BUILDING A
FONTANA, CA 92335
Phone number:
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