Individual
PAMELA RAE BASILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 COUNTRY CLUB AVE, CHEYENNE, WY 82001-1029
(307) 635-6515
Mailing address
1324 COUNTRY CLUB AVE, CHEYENNE, WY 82001-1029
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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