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1295810448
LISA MARIE BASYE
BAKER, WV
NPI
1295810448
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Other Name
LISA MARIE LUDWIG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 345)
Enumeration Date
2006-10-26
Last Update Date
2015-04-28
Business Address
Mrs. LISA MARIE BASYE PAC
17978 STATE RT. 55
BAKER, WV 26801-0097
Phone number: 304-897-5915
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Mailing Address
Mrs. LISA MARIE BASYE PAC
1900 SPERRY RUN RD
RIO, WV 26755
Phone number: 304-897-5933
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