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1255875266
MADELINE ANN BASSE
PUEBLO, CO
NPI
1255875266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO PA.0004873)
Enumeration Date
2016-12-09
Last Update Date
2016-12-21
Business Address
-- MADELINE ANN BASSE P.A.
400 W 16TH ST SCEMA
PUEBLO, CO 81003-2745
Phone number: 719-584-4306
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Mailing Address
-- MADELINE ANN BASSE P.A.
PO BOX 1881
PUEBLO, CO 81002-1881
Phone number: 719-584-4306
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