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1083725188
JOHN LESLIE BASS
FORT WORTH, TX
NPI
1083725188
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 05099T)
Enumeration Date
2006-08-31
Last Update Date
2011-09-12
Business Address
-- JOHN LESLIE BASS OD
3000 S HULEN ST STE 104
FORT WORTH, TX 76109-1930
Phone number: 817-738-2027
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Mailing Address
-- JOHN LESLIE BASS OD
3000 S HULEN ST STE 104
FORT WORTH, TX 76109-1930
Phone number: 817-738-2027
Copy
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