LISA RAE BASS

ERIN, TN
NPI1144758947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  LPN60210)
Enumeration Date2017-05-24
Last Update Date2017-05-24
Business Address
LISA RAE BASS LPN
60 COURT SQ
ERIN, TN 37061-4166
Phone number: 931-289-3463
Mailing Address
LISA RAE BASS LPN
60 COURT SQ
ERIN, TN 37061-4166
Phone number: 931-289-3463
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