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Individual

MS. BECKY LYNNE BASFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
210 N WILSON DR, ADAMS COUNTY HOSPITAL, WEST UNION, OH 45693-1577
(937) 544-1531
(937) 544-1120
Mailing address
210 N WILSON DR, ADAMS COUNTY HOSPITAL, WEST UNION, OH 45693-1577
(937) 544-1531
(937) 544-1120

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN212420
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2264615
OH
Enumeration date
03/06/2007
Last updated
07/08/2007
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