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1336130079
JAMES JEFFREY BASS
ROLLA, MO
NPI
1336130079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: MO R2C49)
Enumeration Date
2005-11-02
Last Update Date
2019-08-22
Business Address
JAMES JEFFREY BASS M.D.
1201 HAUCK DR
ROLLA, MO 65401-4900
Phone number: 573-364-8818
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Mailing Address
JAMES JEFFREY BASS M.D.
1050 W 10TH ST ATTN: EXECUTIVE DIRECTOR OF PHYSICIAN CLINICS
ROLLA, MO 65401-4900
Phone number: 573-364-9000
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