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1194301218
FREDRICK D BASS
MONROE, LA
NPI
1194301218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-03-19
Last Update Date
2021-03-19
Business Address
FREDRICK D BASS
2414 FERRAND ST STE 2
MONROE, LA 71201-3255
Phone number: 318-342-9979
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Mailing Address
FREDRICK D BASS
2414 FERRAND ST STE 2
MONROE, LA 71201-3255
Phone number: 318-342-9979
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