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1053936948
KOURTNEY BASS
LAS VEGAS, NV
NPI
1053936948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NV 822111)
Enumeration Date
2020-06-16
Last Update Date
2020-07-13
Business Address
KOURTNEY BASS
5300 SPRING MOUNTAIN RD STE 112
LAS VEGAS, NV 89146-8724
Phone number: 702-362-6373
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Mailing Address
KOURTNEY BASS
29485 STELLAMAR DR
SOUTHFIELD, MI 48076-5270
Phone number:
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