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1376137018
DARIC DESHAWN BASS
126 BELLEAUWOOD CIRCLE, BELLE CHASSE, LA, LA
NPI
1376137018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: LA LA7594)
Enumeration Date
2021-02-23
Last Update Date
2021-02-23
Business Address
Mr. DARIC DESHAWN BASS LMT, CPT, CES.
126 BELLEAUWOOD CIRCLE
126 BELLEAUWOOD CIRCLE, BELLE CHASSE, LA, LA 70037
Phone number: 504-228-9137
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Mailing Address
Mr. DARIC DESHAWN BASS LMT, CPT, CES.
671 ROSA AVE STE 211
METAIRIE, LA 70005-2831
Phone number: 504-355-6550
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