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1972045201
ANTONETTE BASA
CAMPBELL, CA
NPI
1972045201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN 211071)
Enumeration Date
2016-11-17
Last Update Date
2016-12-05
Business Address
-- ANTONETTE BASA
251 LLEWELLYN AVE
CAMPBELL, CA 95008-1940
Phone number: 408-379-3790
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Mailing Address
-- ANTONETTE BASA
251 LLEWELLYN AVE
CAMPBELL, CA 95008-1940
Phone number: 408-379-3790
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