Florida
Florida Board of Medicine
BASIL DUANE FOSSUM
Department Of Health - Medical Doctor
License number
ME53505
Date granted
01/01/1973
Date expires
01/31/2015
Class
Department Of Health - Medical Doctor
Status
Active
Address
914 B MAR WALT DR, FORT WALTON BEACH, FL 32547
doctorsflorida.org
ID 21682694
LAST UPDATED 2024-04-08 10:10:25 UTC
LAST UPDATED 2024-04-08 10:10:25 UTC
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