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1669505780
KENNETH JOSEPH BASILLE
ATLANTA, GA
NPI
1669505780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA CHIR006985)
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Dr. KENNETH JOSEPH BASILLE D.C.
2810 SPRING RD SE SUITE 116
ATLANTA, GA 30339-3000
Phone number: 678-217-7700
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Mailing Address
Dr. KENNETH JOSEPH BASILLE D.C.
PO BOX 941188
ATLANTA, GA 31141-0188
Phone number: 678-701-2225
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