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1275960759
LISA BASS
CLARKSVILLE, AR
NPI
1275960759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
132700000X Dietary Manager
Enumeration Date
2013-09-30
Last Update Date
2013-09-30
Business Address
-- LISA BASS Dietary Aide
522 MILL RD
CLARKSVILLE, AR 72830-8511
Phone number: 479-705-1301
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Mailing Address
-- LISA BASS Dietary Aide
PO BOX 1589
BENTON, AR 72018-1589
Phone number: 501-315-3344
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