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1376205526
STACEY LEIGH BASS
TYLER, TX
NPI
1376205526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 174580)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
MRS. STACEY LEIGH BASS
100 E FERGUSON ST STE 608
TYLER, TX 75702-5756
Phone number: 903-780-6660
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Mailing Address
MRS. STACEY LEIGH BASS
211 RIDGECREST DR
TYLER, TX 75701-7931
Phone number: 903-780-6660
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