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1609117597
NICHOLAS ADAM BASS
LAWTON, OK
NPI
1609117597
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2013-03-03
Last Update Date
2013-03-03
Business Address
-- NICHOLAS ADAM BASS
811 SE LOMOND LN
LAWTON, OK 73501-6609
Phone number: 580-353-6937
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Mailing Address
-- NICHOLAS ADAM BASS
811 SE LOMOND LN
LAWTON, OK 73501-6609
Phone number: 580-353-6937
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