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1285001974
KRISTINA BASS
LAKELAND, FL
NPI
1285001974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL 16830)
Enumeration Date
2015-08-28
Last Update Date
2015-08-28
Business Address
-- KRISTINA BASS
716 E BELLA VISTA ST
LAKELAND, FL 33805-3009
Phone number: 863-683-6504
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Mailing Address
-- KRISTINA BASS
3208 HURLEY GROVE WAY
VALRICO, FL 33596-5674
Phone number:
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