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1942913074
MEMORY ALEXANDRA BASILE
NORFOLK, VA
NPI
1942913074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-01-04
Last Update Date
2023-06-19
Business Address
MEMORY ALEXANDRA BASILE
825 FAIRFAX AVE
NORFOLK, VA 23507-1912
Phone number: 757-446-5600
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Mailing Address
MEMORY ALEXANDRA BASILE
825 FAIRFAX AVE
NORFOLK, VA 23507-1912
Phone number:
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