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1104241074
BRUCE D BASON
DETROIT, MI
NPI
1104241074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies
347C00000X Private Vehicle
Enumeration Date
2014-02-28
Last Update Date
2014-02-28
Business Address
Mr. BRUCE D BASON
12740 CLOVERLAWN ST
DETROIT, MI 48238
Phone number: 313-590-5142
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Mailing Address
Mr. BRUCE D BASON
12740 CLOVERLAWN ST
DETROIT, MI 48238
Phone number: 313-590-5142
Copy
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