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1679678957
TERESA R BASS
TUPELO, MS
NPI
1679678957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS R598178)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Mrs. TERESA R BASS RN
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-844-1717
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Mailing Address
Mrs. TERESA R BASS RN
2006 WINFIELD DR
TUPELO, MS 38801-3121
Phone number:
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