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1417564618
KELLI LANETTE BASS
FORT CAMPBELL, KY
NPI
1417564618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: KY 11066)
Enumeration Date
2020-09-30
Last Update Date
2024-06-07
Business Address
KELLI LANETTE BASS DDS
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
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Mailing Address
KELLI LANETTE BASS DDS
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
Copy
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