SUE ELLEN BASORE

DECATUR, GA
NPI1164440988
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: GA  AUD000516)
Enumeration Date2006-07-18
Last Update Date2007-07-08
Business Address
Ms. SUE ELLEN BASORE MS
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-329-4656
Mailing Address
Ms. SUE ELLEN BASORE MS
4245 BONAPARTE CT
TUCKER, GA 30084-2201
Phone number: 770-492-9733
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