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Individual

MICHELE S BASILIERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CGC

Contact information

Practice address
2000 VIVIGEN WAY, SANTA FE, NM 87505-5600
(508) 438-2250
(505) 438-2269
Mailing address
2000 VIVIGEN WAY, SANTA FE, NM 87505-5600
(508) 438-2250
(505) 438-2269

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary

Other

Enumeration date
12/19/2007
Last updated
05/04/2010
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