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Individual
MILENA F BASILE
Active
Individual
MILENA F BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010364
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218067
DEPT. OF LABOR & INDUSTRY
WA
01
—
4656BA
REGENCE BLUE SHIELD
WA
01
—
8943886
L&I CRIME VICTIMS
WA
01
—
911745305-98208-B027
TRICARE
WA
01
—
9274BA
REGENCE BLUE SHIELD
WA
Enumeration date
02/23/2007
Last updated
10/12/2007
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