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1083921233
SALLY REBECCA BASKETT
MISSOULA, MT
NPI
1083921233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MT 18203)
Enumeration Date
2010-09-09
Last Update Date
2010-09-09
Business Address
-- SALLY REBECCA BASKETT APRN
702 SW HIGGINS AVE
MISSOULA, MT 59803-1429
Phone number: 406-721-9543
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Mailing Address
-- SALLY REBECCA BASKETT APRN
154 REVAIS CREEK RD
DIXON, MT 59831-9519
Phone number: 406-246-0035
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