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1114467867
MICHAEL BASEDOW
ASHLAND, KY
NPI
1114467867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OH 34.014444)
Enumeration Date
2017-02-28
Last Update Date
2021-12-16
Business Address
MICHAEL BASEDOW
1000 ASHLAND DR STE 303
ASHLAND, KY 41101-7097
Phone number: 606-467-2360
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Mailing Address
MICHAEL BASEDOW
1000 ASHLAND DR STE 303
ASHLAND, KY 41101-7097
Phone number: 606-467-2360
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