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1144222787
BRIAN EDMOND BASS
RALEIGH, NC
NPI
1144222787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: NC 36649)
Enumeration Date
2005-08-12
Last Update Date
2010-06-29
Business Address
Mr. BRIAN EDMOND BASS MD
3805 COMPUTER DR
RALEIGH, NC 27609-6503
Phone number: 919-781-6200
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Mailing Address
Mr. BRIAN EDMOND BASS MD
3805 COMPUTER DR
RALEIGH, NC 27609-6503
Phone number: 919-781-6200
Copy
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