OLIVIA RAE BASILE

MOUNT AIRY, NC
NPI1609652494
Former NameOLIVIA RAE WEASE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-13585)
Enumeration Date2023-09-06
Last Update Date2024-07-12
Business Address
OLIVIA RAE BASILE PA-C
119 WELCH RD STE A
MOUNT AIRY, NC 27030-5274
Phone number: 336-719-7200
Mailing Address
OLIVIA RAE BASILE PA-C
PO BOX 1267
MOUNT AIRY, NC 27030-1267
Phone number: 336-783-8911
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