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1134878671
ALI SUSANNE BASS
SPRINGDALE, AR
NPI
1134878671
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Former Name
ALI VANDERGRIFF
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
ALI SUSANNE BASS
3497 WAGON WHEEL RD
SPRINGDALE, AR 72762-0115
Phone number: 479-717-2467
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Mailing Address
ALI SUSANNE BASS
3497 WAGON WHEEL RD
SPRINGDALE, AR 72762-0115
Phone number:
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