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1932501491
KELLY CORINNE BASILE
OMAHA, NE
NPI
1932501491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 3033)
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
-- KELLY CORINNE BASILE MPT
444 S 44TH ST
OMAHA, NE 68131-3727
Phone number: 402-559-6415
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Mailing Address
-- KELLY CORINNE BASILE MPT
985450 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-5450
Phone number: 402-559-6415
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