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1376617274
BRIAN E. BASHAM
CASSVILLE, MO
NPI
1376617274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO R7P13)
Enumeration Date
2006-11-20
Last Update Date
2012-03-06
Business Address
Dr. BRIAN E. BASHAM MD
4016 MAIN ST
CASSVILLE, MO 65625-9753
Phone number: 417-847-0057
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Mailing Address
Dr. BRIAN E. BASHAM MD
4301 DONIPHAN DR
NEOSHO, MO 64850-9120
Phone number: 417-451-9450
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