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1043056443
LADONNA M BASS
BAINBRIDGE, GA
NPI
1043056443
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA RN297220)
Enumeration Date
2024-07-04
Last Update Date
2024-07-04
Business Address
LADONNA M BASS
920 S WEST ST
BAINBRIDGE, GA 39819-4581
Phone number: 229-246-8850
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Mailing Address
LADONNA M BASS
640 RANDOLPH CT
BAINBRIDGE, GA 39819-7929
Phone number: 229-220-0238
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