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Individual

ALFIO REEVES BASILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
755 SCOTT CIR, JBPHH, HI 96853-5399
(808) 448-6100
Mailing address
755 SCOTT CIR, JBPHH, HI 96853-5399

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
09/17/2024
Last updated
03/17/2025
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