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Individual
MR. JONATHAN BASSO
Active
Individual
MR. JONATHAN BASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0005952
CO
225X00000X
Occupational Therapist
Primary
415849
OR
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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