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1689078362
MATTHEW JOHN BASILE
DENVER, CO
NPI
1689078362
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2014-10-09
Last Update Date
2014-10-09
Business Address
Mr. MATTHEW JOHN BASILE
3321 STUART ST
DENVER, CO 80212-1715
Phone number: 860-992-6418
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Mailing Address
Mr. MATTHEW JOHN BASILE
4455 E 12TH AVE
DENVER, CO 80220-2415
Phone number: 303-504-6500
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