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1558876136
KASSIM KARL BASS
ORLANDO, FL
NPI
1558876136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2017-12-05
Last Update Date
2018-04-27
Business Address
KASSIM KARL BASS
3730 GATLIN WOODS DR
ORLANDO, FL 32812-7610
Phone number: 855-832-6727
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Mailing Address
KASSIM KARL BASS
4575 SE DIXIE HWY
STUART, FL 34997-6826
Phone number:
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