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1386024180
LA' WANDA TARA BASS
LAS VEGAS, NV
NPI
1386024180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2015-06-05
Last Update Date
2015-06-08
Business Address
Ms. LA' WANDA TARA BASS
2020 W BONANZA RD
LAS VEGAS, NV 89106-4710
Phone number: 702-749-6332
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Mailing Address
Ms. LA' WANDA TARA BASS
5100 E TROPICANA AVE APT # 8E
LAS VEGAS, NV 89122-6718
Phone number: 702-748-0757
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