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1598052417
JONATHAN GARRETT BASS
HAZLEHURST, MS
NPI
1598052417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS 4913)
Enumeration Date
2011-06-29
Last Update Date
2011-06-29
Business Address
-- JONATHAN GARRETT BASS DPT
126 W GALLATIN ST
HAZLEHURST, MS 39083-3007
Phone number: 601-894-5929
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Mailing Address
-- JONATHAN GARRETT BASS DPT
126 W GALLATIN ST P.O. BOX 508
HAZLEHURST, MS 39083-3007
Phone number: 601-894-5929
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