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Susan Basilicato, NP
General Practice Registered Nurse in Medford, Oregon
NPI 1265403851

Susan Basilicato is a General Practice Registered Nurse based in Central Point, OR and is specialized in General Practice. Susan Basilicato practices in Medford, OR and has the professional credentials of NP. The NPI Number for Susan Basilicato is 1265403851 and holds a License No. 07804146RN (Oregon).

The current practice location address for Susan Basilicato is 1200 Mira Mar Ave, Medford, OR and can be reached out via phone at 541-664-5151. You can also correspond with Susan Basilicato through the mailing address at 1208 BEALL LN, CENTRAL POINT, OR - 97502-1573 (mailing address contact number: 541-664-5151).

Location: 1200 Mira Mar Ave, Medford, OR, 97502-1573
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Provider Profile Details
NPI Number
1265403851
Provider Name
Susan Basilicato
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1200 Mira Mar Ave, Medford, OR, 97502-1573
Phone Number
541-664-5151
Fax Number
Provider Enumeration Date
01/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1200 Mira Mar Ave
City
State
Zip
97504-8546
Phone Number
541-664-5151
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Mira Mar Ave
City
State
Zip
97504-8546
Phone Number
541-664-5151
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
License No.
07804146RN (Oregon)
Definition
Definition to come...
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