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1336416965
MICHELLE LYNNE BASS
CHARLOTTE, NC
NPI
1336416965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03288)
Enumeration Date
2011-11-28
Last Update Date
2024-07-15
Business Address
MICHELLE LYNNE BASS PA
1010 EDGEHILL RD N
CHARLOTTE, NC 28207-1885
Phone number: 704-446-1900
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Mailing Address
MICHELLE LYNNE BASS PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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