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1013640093
ALEXANDRA NICOLE DIBASILIO
FORT LEAVENWORTH, KS
NPI
1013640093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MD R249243)
Enumeration Date
2022-07-06
Last Update Date
2022-07-06
Business Address
ALEXANDRA NICOLE DIBASILIO
315 POPE AVE APT 8
FORT LEAVENWORTH, KS 66027-1383
Phone number: 410-960-5206
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Mailing Address
ALEXANDRA NICOLE DIBASILIO
315 POPE AVE APT 8
FORT LEAVENWORTH, KS 66027-1383
Phone number: 410-960-5206
Copy
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