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1013986728
MICHAEL WAYNE BASILE
OPELOUSAS, LA
NPI
1013986728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: LA 14706)
Enumeration Date
2006-03-15
Last Update Date
2007-07-08
Business Address
Dr. MICHAEL WAYNE BASILE MD
3921 I 49 S SERVICE RD
OPELOUSAS, LA 70570-0758
Phone number: 337-942-5706
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Mailing Address
Dr. MICHAEL WAYNE BASILE MD
7550 HIGHWAY 31
OPELOUSAS, LA 70570-1628
Phone number: 337-942-5706
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