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1700561370
JESSICA NICOLE BASS
BASTROP, LA
NPI
1700561370
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
JESSICA NICOLE BASS
626 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-2325
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Mailing Address
JESSICA NICOLE BASS
626 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-2325
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