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1366107435
JOHN BASS
TARZANA, CA
NPI
1366107435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-11-03
Last Update Date
2021-11-03
Business Address
JOHN BASS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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Mailing Address
JOHN BASS
18646 OXNARD ST
TARZANA, CA 91356-1411
Phone number: 818-996-1051
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