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1295995801
JENNIFER BASS OLDHAM
RALEIGH, NC
NPI
1295995801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NC 6910)
Enumeration Date
2008-06-17
Last Update Date
2009-08-11
Business Address
Ms. JENNIFER BASS OLDHAM SLP
4104 LAMBETH DR
RALEIGH, NC 27609-5800
Phone number: 919-781-5728
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Mailing Address
Ms. JENNIFER BASS OLDHAM SLP
4104 LAMBETH DR
RALEIGH, NC 27609-5800
Phone number: 919-781-5728
Copy
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