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1376603985
JAMES L BASILIERE
WINNEBAGO, WI
NPI
1376603985
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WI 14738)
Enumeration Date
2006-12-12
Last Update Date
2023-03-07
Business Address
Dr. JAMES L BASILIERE M.D.
1300 SOUTH DR. WINNEBAGO MENTAL HEALTH INSTITUTE
WINNEBAGO, WI 54985-0009
Phone number: 920-235-4910
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Mailing Address
Dr. JAMES L BASILIERE M.D.
1300 SOUTH DR. WINNEBAGO MENTAL HEALTH INSTITUTE
WINNEBAGO, WI 54985-0009
Phone number: 920-235-4910
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