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1912396219
JACLYN BASSO
HAWTHORNE, NY
NPI
1912396219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY 382226)
Enumeration Date
2015-01-10
Last Update Date
2015-07-29
Business Address
-- JACLYN BASSO MS, RN, CPNP
19 BRADHURST AVE SUITE 1400
HAWTHORNE, NY 10532-2140
Phone number: 914-493-7997
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Mailing Address
-- JACLYN BASSO MS, RN, CPNP
PO BOX 1020
HAWTHORNE, NY 10532-7507
Phone number: 888-633-0033
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