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1730903469
DEREK BASS
LOUISVILLE, KY
NPI
1730903469
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
DEREK BASS
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-966-7675
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Mailing Address
DEREK BASS
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number:
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