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1194546200
ISAAC LIAM BASS
MIDDLEBURY, VT
NPI
1194546200
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VT 026.0147432)
Enumeration Date
2024-10-21
Last Update Date
2024-10-25
Business Address
ISAAC LIAM BASS PMHNP
88 MAIN ST STE 201
MIDDLEBURY, VT 05753-1425
Phone number: 413-687-5175
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Mailing Address
ISAAC LIAM BASS PMHNP
88 MAIN ST STE 201
MIDDLEBURY, VT 05753-1425
Phone number: 413-687-5175
Copy
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