LYLE DOUGLAS BASHAM

TAMPA, FL
NPI1487827846
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: FL  MA52948)
Enumeration Date2008-04-08
Last Update Date2008-04-08
Business Address
-- LYLE DOUGLAS BASHAM LMT
12284 COUNTRY WHITE CIR
TAMPA, FL 33635-6279
Phone number: 813-395-3175
Mailing Address
-- LYLE DOUGLAS BASHAM LMT
12284 COUNTRY WHITE CIR
TAMPA, FL 33635-6279
Phone number: 813-395-3175
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