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Individual
BETH E BASSO
Active
Individual
BETH E BASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GCNS, AGPCNP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
COA15939NP
OH
364SG0600X
Gerontology Clinical Nurse Specialist
COA12813
OH
Other
Enumeration date
07/17/2014
Last updated
01/13/2021
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