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Individual

MR. BOOKER BASKIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BS

Contact information

Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9370
(909) 421-9392
Mailing address
1432 KINGSWOOD DR, REDLANDS, CA 92374-2629
(909) 421-9370
(909) 421-9392

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
02/07/2007
Last updated
07/08/2007
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