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1295085918
STACEY JANNETTE BASS
ORANGE, CA
NPI
1295085918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 583021)
Enumeration Date
2012-09-11
Last Update Date
2012-09-11
Business Address
Mrs. STACEY JANNETTE BASS MSN, RN, PNP
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-997-3000
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Mailing Address
Mrs. STACEY JANNETTE BASS MSN, RN, PNP
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-997-3000
Copy
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