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1548947492
JORDAN SPENCER BASS
FORT CAVAZOS, TX
NPI
1548947492
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-03
Last Update Date
2023-07-03
Business Address
JORDAN SPENCER BASS DO
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544-5060
Phone number: 254-288-8000
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Mailing Address
JORDAN SPENCER BASS DO
36065 SANTA FE AVE
FORT CAVAZOS, TX 76544-5060
Phone number:
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