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1548364755
WALLINE T BASS
ATLANTA, GA
NPI
1548364755
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Former Name
WALLINE T DRIVER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN102335)
Enumeration Date
2006-09-08
Last Update Date
2024-06-10
Business Address
WALLINE T BASS N.P.
1525 CLIFTON RD NE SUITE 207
ATLANTA, GA 30322-4200
Phone number: 404-778-4451
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Mailing Address
WALLINE T BASS N.P.
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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