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1497441158
JAIME LYNNE BASS
CHATSWORTH, GA
NPI
1497441158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN254900)
Enumeration Date
2023-04-14
Last Update Date
2023-04-14
Business Address
JAIME LYNNE BASS NP
707 OLD DALTON ELLIJAY RD
CHATSWORTH, GA 30705-2029
Phone number: 706-695-4564
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Mailing Address
JAIME LYNNE BASS NP
616 WALLACE WELLS CIR
LINCOLNTON, GA 30817-2802
Phone number: 912-258-1964
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