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1720503261
ALISSA BASS
CORVALLIS, OR
NPI
1720503261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201702934LPN)
Enumeration Date
2017-08-05
Last Update Date
2017-08-05
Business Address
ALISSA BASS LPN
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5905
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Mailing Address
ALISSA BASS LPN
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number:
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