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1316044886
LISA BASANESE
IRON MOUNTAIN, MI
NPI
1316044886
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MI 5302028528)
Enumeration Date
2006-09-19
Last Update Date
2008-09-11
Business Address
-- LISA BASANESE
325 E H ST
IRON MOUNTAIN, MI 49801-4760
Phone number: 906-774-3300
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Mailing Address
-- LISA BASANESE
1000 WOODWARD AVE
IRON MOUNTAIN, MI 49801-4434
Phone number: 906-774-7988
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