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1164118782
MICHAEL JOSEPH BASS
FAYETTEVILLE, NC
NPI
1164118782
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-17
Last Update Date
2023-04-17
Business Address
MICHAEL JOSEPH BASS DO
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-3960
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Mailing Address
MICHAEL JOSEPH BASS DO
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-3960
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