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1497325120
EBONY MACHEL BASS
SARASOTA, FL
NPI
1497325120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: FL OT21856)
Enumeration Date
2021-06-25
Last Update Date
2021-06-25
Business Address
EBONY MACHEL BASS OTR
3938 S TAMIAMI TRL
SARASOTA, FL 34231-3622
Phone number: 866-989-1114
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Mailing Address
EBONY MACHEL BASS OTR
3938 S TAMIAMI TRL
SARASOTA, FL 34231-3622
Phone number: 866-989-1114
Copy
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