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Individual
ALICE E. BESONG
Active
Individual
ALICE E. BESONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C162037
CA
207Q00000X
Family Medicine Physician
ME123086
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014627100
—
FL
01
—
GA73504
GEORGIA MEDICAL LICENSE
GA
01
—
ME123086
FLORIDA LICENSE
FL
01
—
NY263473
NEW YORK MEDICAL LICENSE
NY
Enumeration date
06/08/2008
Last updated
05/09/2023
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