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1285656348
KIMBERLY BASS FREDERICKS
BILOXI, MS
NPI
1285656348
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Other Name
KIMBERLY VINET BASS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
Mrs. KIMBERLY BASS FREDERICKS BS
400 VETERANS AVE (116B)
BILOXI, MS 39531-2410
Phone number: 228-523-4241
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Mailing Address
Mrs. KIMBERLY BASS FREDERICKS BS
8118 GEORGIA AVE
GULFPORT, MS 39501-7541
Phone number: 228-868-1378
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