BASIL A ANAELE

CLOVIS, NM
NPI1437403813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NM  MD2012-0726)
Enumeration Date2012-11-06
Last Update Date2012-11-06
Business Address
-- BASIL A ANAELE MD
1521 W 13TH ST
CLOVIS, NM 88101-5568
Phone number: 575-769-0888
Mailing Address
-- BASIL A ANAELE MD
1515 W FIR ST
PORTALES, NM 88130-5703
Phone number: 575-356-6695
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