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1497496269
KEVIN A BASS
FORT PAYNE, AL
NPI
1497496269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
KEVIN A BASS CSFA
1411 OLD WATER WORKS ROAD
FORT PAYNE, AL 35968
Phone number: 256-979-1550
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Mailing Address
KEVIN A BASS CSFA
1411 OLD WATER WORKS ROAD
FORT PAYNE, AL 35968
Phone number: 256-979-1550
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