SEVERINE MIA CLEMENCE BASHAM

LIBBY, MT
NPI1518144260
Other NameSEVY MIA CLEMENCE BASHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MT  34352)
Enumeration Date2008-01-24
Last Update Date2014-12-11
Business Address
Mrs. SEVERINE MIA CLEMENCE BASHAM P.A.
211 E 2ND ST
LIBBY, MT 59923-2047
Phone number: 406-293-8711
Mailing Address
Mrs. SEVERINE MIA CLEMENCE BASHAM P.A.
116 CONIFER RD
LIBBY, MT 59923-2958
Phone number: 406-293-8711
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