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1265403851
SUSAN BASILICATO
MEDFORD, OR
NPI
1265403851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse General Practice
(Licence: OR 07804146RN)
Enumeration Date
2006-01-31
Last Update Date
2007-11-26
Business Address
SUSAN BASILICATO NP
1200 MIRA MAR AVE
MEDFORD, OR 97504-8546
Phone number: 541-664-5151
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Mailing Address
SUSAN BASILICATO NP
1208 BEALL LN
CENTRAL POINT, OR 97502-1573
Phone number: 541-664-5151
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