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1538828512
DARIS W BASS
SOUTHFIELD, MI
NPI
1538828512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: MI 7501001766)
Enumeration Date
2021-12-17
Last Update Date
2021-12-17
Business Address
DARIS W BASS LMT
25688 W 12 MILE RD APT 104
SOUTHFIELD, MI 48034-8001
Phone number: 313-515-4133
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Mailing Address
DARIS W BASS LMT
25688 W 12 MILE RD APT 104
SOUTHFIELD, MI 48034-8001
Phone number: 248-340-3517
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