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1619464096
ERIC ANTHONY BASS
TAYLORSVILLE, UT
NPI
1619464096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-04-20
Last Update Date
2018-04-20
Business Address
Mr. ERIC ANTHONY BASS
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 888-949-4864
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Mailing Address
Mr. ERIC ANTHONY BASS
3809 W 6200 S
TAYLORSVILLE, UT 84129-3725
Phone number: 888-949-4864
Copy
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