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Individual
MAGED Z BASILIOS
Active
Individual
MAGED Z BASILIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD INC
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A061990
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A619900
—
CA
01
—
A061990
LICENCE
CA
Enumeration date
08/23/2005
Last updated
01/26/2017
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