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1417341454
BRITTNAY RAE BASSHAM
MOBILE, AL
NPI
1417341454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: AL 8779664)
Enumeration Date
2015-03-27
Last Update Date
2016-08-11
Business Address
-- BRITTNAY RAE BASSHAM
101 N FRANKLIN ST NONE
MOBILE, AL 36602-2505
Phone number: 228-219-2155
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Mailing Address
-- BRITTNAY RAE BASSHAM
PO BOX 1896 NONE
GAUTIER, MS 39553-0030
Phone number: 228-219-2155
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