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1063685949
CHARLES MATTHEW BASS
MIDLAND, MI
NPI
1063685949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201005046)
Enumeration Date
2008-04-11
Last Update Date
2008-04-11
Business Address
Mr. CHARLES MATTHEW BASS OT
4421 W MAIN ST
MIDLAND, MI 48640-2304
Phone number: 989-832-9026
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Mailing Address
Mr. CHARLES MATTHEW BASS OT
1742 W BROOKS RD
BRECKENRIDGE, MI 48615-9646
Phone number: 989-615-6367
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